摘要
目的总结67例老年人腹股沟疝的治疗经验。方法46例使用传统的Bassini、McVay法等术式,21例补片无张力修补术。对手术方法、麻醉选择、手术时机、并发症和复发率进行观察。结果1例嵌顿疝在硬膜外麻醉下行手术,术后3d死于心力衰竭;6(6/78.96%)例出现术后血压过高、肺部感染等心血管疾病,其中5(5/6883%)例为非局麻手术;3(3/674.5%)例术后出现急性尿潴留,均为硬膜外麻醉;3例(3/614.9%)术后阴囊血肿;4例(4/675.97%)切口感染;7例(7/6710.4%)复发,全部采用的是传统的加强后壁疝修补术式;复发时间最短8个月,最长4年。结论老年嵌顿斜疝患者应在局麻下尽早行择期手术,避免绞窄减少手术风险,提高治愈率。提倡疝环充填式无张力疝修补术。
Objective To summarize the clinical experiences (67 cases ) of surgical treatment of emergency hernia in elderly patient. Methods 46 cases were treated with traditional hernioplasty and 21 cases were treated with mesh plug hernia repair. The operative procedure, anesthetic options, complications, recurrence rate were studied. Results 1 patient wit increased indirect inguinal hernia dead of heart failure 3 days after operation. 6 cases were occurred postoperative lung infection and hypertension. 3 cases who were performed epidural anesthesia occurred urinary retention. 3 patients were complicated with scrotal hematoma. 4 cases had wound infection. Recurrence was found in 7 cases who were performed traditional hernioplasty 8 m～4 years. Conclusion The early operation under local anesthesia might be the safest method for elderly inguinal hernia. In might avoid the complications of emergency mesh plug hernia repair procedure was advocated in elderly patient and especially recurrent case.
出处
《黑龙江医学》
2005年第5期332-333,共2页
Heilongjiang Medical Journal
关键词
普通外科学
老年
急诊
腹股沟斜疝
嵌顿
General surgery
elderly
Emergency
Indirect inguinal hernia
