【摘 要】目的：探讨老年人腹股沟疝无张力疝修补术治疗的临床效果。方法：将2015年3月至2017年12月我院收治的腹股沟疝老年患者94例作为本次研究对象，随机将患者分成治疗组及对照组，2组各有47例患者，对照组患者实施开放填充式无张力腹股沟疝修补术治疗，治疗组患者实施腹腔镜下完全腹膜外腹股沟疝修补术治疗，比较两组患者的临床效果。结果：治疗组患者的切口长度、住院时间以及VAS疼痛评分要显著少于对照组(P<0.05)；治疗组患者的并发症发生率是6.38%，对照组患者的并发症发生率是31.91%，治疗组并发症要显著少于对照组(P<0.05)。结论：老年腹股沟疝患者接受开放性和腹腔镜无张力疝修补术治疗均能获得较好的临床效果，但后者术后恢复更快、创伤更小、并发症更少，值得推广应用。

    【关键词】老年；腹股沟疝；无张力疝修补术

    Abstract Objective：To investigate the clinical effects of elderly inguinal hernia repair without tension. Methods ： Ninety-four elderly patients with inguinal hernia admitted to our hospital from March 2015 to December 2017 were included in this study. Patients were randomly divided into treatment and control groups. There were 47 patients in each group and the control group was administered. Open-filling tension-free inguinal hernia repair was performed in patients undergoing laparoscopic complete extraperitoneal inguinal hernia repair. The clinical effects of the two groups were compared. Results： The incision length ......