[摘要] 目的 探讨局麻下腹膜前间隙疝修补术在老年性腹股沟直疝治疗中的应用价值。方法 回顾性分析48例老年性腹股沟直疝局麻下腹膜前间隙疝修补术的临床资料及随访结果。结果 手术均成功，术后2~5d出院。并发症:血肿1例，经超声定位穿刺抽吸痊愈。随访6月一5年，平均(38. 25士28. 52)个月。无一例复发。结论 局麻下腹膜前间隙疝修补术治疗老年性腹股沟直疝安全、可靠、经济、复发率低。

[Abstract] Objective Discussed before peritoneal clearance hernia repair under local anesthesia in senile application value in the treatment of inguinal hernia straight. Methods Retrospective analysis of 48 cases of senile inguinal hernia straight before peritoneal clearance hernia repair under local anesthesia clinical data and follow-up results. Results After operation were successful, 2 ~ 5 d discharged from hospital. Complications: 1 case of seroma, puncture pumping by ultrasonic positioning to heal. June 一5 years follow-up, the average (38. 25 and 28. 52) months. No case of recurrence. Conclusions Hernia repair under local anesthesia before peritoneal clearance treatment of inguinal hernia straight in the safe, reliable, economic, and the recurrence rate is low .