摘要
目的总结无张力网片修补术治疗老年人腹股沟疝的临床经验。方法回顾性分析229例（271例次）65岁及以上老年腹股沟疝无张力修补术的临床资料，观察腹股沟疝病局部病损情况、合并症率、术后并发症及复发率。结果43例为双侧疝，185例为单侧疝；斜疝169侧，直疝62侧，骑跨疝38侧，股疝2侧，斜疝合并腹横筋膜膨出的有123例次，占72．8％（123／169），双侧同时或相继发病的有43例（18．7％，43／229）；104例（45．4％）伴有不同程度的合并疾病；出现血（清）肿4例，呼吸功能不全1例；随访3月～60月，均无复发。结论根据老年人腹股沟疝的特点采用个案化外科治疗、重视围手术期合并症的处理是治疗成功的重要策略。
Objective To summarize the experience of tension-free inguinal herniorrhaphy in 229 elderly patients. Methods 271 procedures in 229 patients aged ≥ 65 years were analyzed retrospectively with respect to local lesions of inguinal hernia, coexisting diseases, postoperative morbidity and recurrence. Results Of the 229 cases, 43 were bilateral hernia, 185 were unilateral hernia, one＇s operation was canceled because of respiratory insufficiency Of the 271 procedures, 169 were indirect hernia, 62 were direct hernia, 38 were pant hernia and 2 were femoral hernia. Of the 169 indirect hernias, 123 （72.8%） were complicated by transverse fascia bulging lesions. There were 43 cases （18.7%） occurring on both sides simultaneously or in succession, and 104 cases （45.4%） accompanied with various complicated diseases. Complications included seroma in 4 cases, respiratory insufficiency in one case. No recurrence was observed during 3-60 months follow-up periods. Conclusion Surgical treatment should be individualized on the basis of the characteristics of inguinal hernia in elderly patients. Perioperative management of coexisting diseases is the key to surgical success and therefore should be addressed.
出处
《老年医学与保健》
CAS
2009年第5期273-274,277,共3页
Geriatrics & Health Care
关键词
老年人
疝
腹股沟
肌张力
修复外科手术
手术中并发症
Aged
Hernia, inguinal
Muscle tonus
Reconstructive surgical procedures
Intraoperative complications
