目的 分析Lichtenstein无张力疝修补术治疗成人腹股沟嵌顿疝的临床疗效。方法 选取我院普外科收治的85例 腹股沟嵌顿疝患者，按照手术方式不同分为对照组（42例）与观察组（43例），其中对照组给予传统疝修补术 （Bassini），观察组给予无张力疝修补术（Lichtenstein），比较两组患者的临床疗效及并发症发生情况。结果 术后对照组总有效率为80.0％，显著低于观察组（97.6％），患者恢复非限制行活动时间、住院时间均显著短于 观察组，且术后经6个月随访，复发率为9.5％、并发症总发生率26.1％，观察组无复发现象且并发症总发生率为 6.9％，两组比较均有显著性差异（P<0.05）。结论 Lichtenstein无张力疝修补术可有效缓解患者临床症状，最大 程度缩短住院时间，降低术后复发率、并发症发生率，临床疗效较好，值得临床推广应用。

Objective To analyze the clinical curative effects of Lichtenstein tension-free tension-free herniorrhaphy treating adult inguinal incarcerated hemia. Methods 85 cases of adult inguinal incarcerated hemia patients admitted and treated in the general surgery department in our hospital were divided into contrast group (n=42) and observation group (n=43) according to the different methods of surgeries that they had been given. Patients in the contrast group were given traditional herniorrhaphy (Bassini), while patients in the observation group were given tension-free hemioplasty (Lichtenstein). Compare the clinical curative effects as well as the complications occurrence condition between both groups. Results After surgery, the total effective rate in the contrast group 80.0% was significantly lower than the contrast group 97.6%. The patients’ non-restricted activity time and length of hospital stay for recovery were significantly shorter than observation group. After follow-up visit the patients for 6 months, the relapse rate was 9.5% and the total occurrence rate of complications was 26.1%. In the observation group, no case was relapsed and the total occurrence rate of complications was 6.9%. The comparison showed significant difference (P<0.05). Conclusion Lichtenstein tension-free herniorrhaphy is proved to be effective in relieving the patients’ clinical symptoms, shorten the length of hospital stay to an extreme and decrease the post-operative relapse occurrence rate as well as complications occurrence rate, with good curative effects. Thus, it deserves to be widely promoted in clinical field.