摘要
目的探讨成年腹股沟疝患者的年龄分布特征,总结老年腹股沟疝的治疗经验。方法回顾性分析2005年6月至2009年4月共465例在我院行疝环充填式无张力疝修补术的患者的临床资料,将患者按年龄分为中青年组(60岁)及老年组(≥60岁),比较患者合并症、住院情况以及术后并发症在各年龄组的差异。结果成年腹股沟疝大多发生于50～77岁的年龄段,尤其在64～70岁间,其中≥60岁的老年患者约占全组的63.2%。老年组中,合并内科疾病者占30%,中青年组则为10%。与中青年患者相比,老年患者平均住院时间明显延长(P<0.05),而术后并发症发生率也较高,老年组15.3%,中青年组5.8%。424例随访1～45个月,无1例复发。结论在施行无张力疝修补术时,正确认识老年疝的特点、有效处理术前并发症及术后并发症,对减少治疗风险,减轻患者痛苦,缩短住院时间是至关重要的。
Objective To explore the characteristics of age distribution of inguinal hernias and to summarize the therapeutic experience of gerontal groin hernia. Methods Clinical data of 465 patients with inguinal hernia treated by tension-free hernia repair from Jun. of 2005 to Apr. of 2009 were analyzed retro- spectively. Those patients were divided by age into two groups： younger group （ 60 years old）and elderly group （ ≥60 years old）, and the preoperative complications, hospitalization data and postoperative complications were compared. Results The most cases betided in the age stage of 50 to 77 years old, especially 64 to 70. Those patients aged 60 years or older accounted for 63.2 % of all. The patients complicated with chronic health disorders were 30 % in elderly group and 10 % in younger group. The elder cases had longer hospitalization time than the younger group （ P 〈 0.05 ）. The incidence of postoperative complications was 15.3 % in elderly group, but 5.8 % in younger group. No case recurred in 424 patients followed up 1 to 45 months. Conclusions Mesh-plug tension-free hernia repair should be performed with correct recognition of individuality of the elderly hernias, and rational pre/post-operation therapy of complications, which could reduce treatment risk, relieve the sufferings and shorten hospitalization time.
出处
《中华疝和腹壁外科杂志（电子版）》
2009年第3期31-32,共2页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
外科手术
无张力
疝修补术
老年
Hernia,inguinal
Surgical piocedures,operative
Tension-free
Herniorrhaphy
Elderly
