高龄嵌顿性腹股沟疝行无张力疝修补的疗效分析  

Tension-free hernia repair for incarcerated inguinal hernia in elderly patients

作　　者：曾德强[1] 王亮[1] 刘梅宝[2] 朱惠琴[1] 张涛[1] 

机构地区：[1]汕头大学医学院附属粤北人民医院胃肠外科,广东韶关512026 [2]汕头大学医学院附属粤北人民医院疼痛门诊,广东韶关512026

出　　处：《中华疝和腹壁外科杂志（电子版）》2014年第3期32-33,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的：探讨无张力疝修补术治疗老年腹股沟嵌顿疝的临床效果。方法回顾性分析2003年1月至于2009年12月，汕头大学医学院附属粤北人民医院开展无张力疝修补术治疗98例老年腹股沟嵌顿疝患者的临床资料，其中行Lichtenstein无张力疝修补术44例，Rutkow无张力疝修补术54例。结果98例患者手术均获成功，无死亡病例，1例术后出现切口感染，所有患者均获得随访，随访时间3∽36个月，1例复发。结论无张力疝修补术治疗老年腹股沟嵌顿疝安全有效。Objective To evaluate the clinical effect of tension-free hernia repair in treatment of incarcerated inguinal hernia in elderly patients.Methods A retrospective study was performed to analysis the clinical data of 98 cases of elderly incarcerated inguinal hernia,who were treated by tension-free hernia repair,including 44 cases of Lichtenstein repairand 54 cases of mesh-plug hernia repair.Results All the operations were finished successfully with no perioperative deaths.One postinguinal herniorrhaphy wound infection occurred.All the patients were followed-up for 3 to 36 months,only 1 case of recurrence was observed.Conclusion Tension-free herniorrhaphy in elderly incarcerated inguinal hernia is a safe and effective method with satisfactory results.

关 键 词：疝 腹股沟 疝修补术 老年人 

分 类 号：R656.21[医药卫生—外科学]