目的    探讨前入路腹膜前修补腹股沟疝效果及手术体会。 方法    回顾性分析2008年3月至2012年10月期间湖北省新华医院采用改良Kugel补片施行腹股沟疝无张力修补术280例病人的临床资料。观察手术时间、伤口疼痛、住院时间、并发症及复发率。结果    手术时间35～65 min，平均45 min。术后1 d下床活动，术后10例使用止痛剂，术后住院时间3～5 d。全组切口一期愈合，无感染发生，12例阴囊水肿，2例切口周围有发绀（紫绀）。随访半年至3年无不适，仅1例复发。结论    针对于解决耻骨肌孔结构薄弱及缺损这一腹股沟疝发生的解剖学基础，改良Kugel腹股沟疝修补技术是目前腹股沟疝治疗中较理想的手术方式。

Modified Kugel patch anterior preperitoneal repair of inguinal hernia        SHEN Yang，XU Han-bin，LV Ren-geng，et al. Department of General Surgery, Hubei Xinhua Hospital, Wuhan 430015, China 
Corresponding author：HE Xiao-jun，E-mail：393919518@qq.com
Abstract    Objective    To explore the effect and experience of modified Kugel patch anterior preperitoneal repair of inguinal hernia. Methods    The clinical data of 280 cases of modified Kugel patch anterior preperitoneal tension-free repair of inguinal hernia performed from March 2008 to October 2012 in Hubei Xinhua Hospital were analyzed retrospectively. The operation time, wound pain, hospitalization time, complications and recurrence rate were studied. Results    The operation time was 35-65min, and the average was 45min. Out of bed activity occurred in postoperative 1 day. Ten cases used analgesics postoperatively. Postoperative hospitalization time was 3-5 days. The whole group of incision was primary healing without infection. There were 12 cases of scrotal edema and 2 cases of cyanosis around incision. During the follow-up of 6 months to three years no complaints occurred and  recurrence occurred in 1 case. Conclusion    Because the weak and defective pectineus pore structure is the anatomic cause of inguinal hernia，the modified Kugel technique for inguinal hernia repair is the ideal mode of operation at present.