老年腹股沟疝患者的围手术期处理  

Perioperative management of elderly patients with inguinal hernia

作　　者：阿不来提.艾则孜 李赞林[1] 张成[1] 克力木[1] 

机构地区：[1]新疆维吾尔自治区人民医院全科医疗科,乌鲁木齐830000

出　　处：《中华疝和腹壁外科杂志（电子版）》2016年第3期192-194,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨老年（〉60岁）腹股沟疝患者的围手术期处理体会。方法回顾性分析2013年1月至2014年12月,新疆维吾尔自治区人民医院收治的447例老年非嵌顿性腹股沟疝患者的临床资料。结果 447例患者全部治愈出院,平均住院时间6 d,手术平均时间40 min,术后4~24 h均可下床活动。术后常规伤口盐袋加压,阴囊托起防止水肿,术后当天诉伤口疼痛患者15例,发生急性尿潴留6例,经对症处理后治愈;腹股沟区慢性疼痛2例,无阴囊血肿等并发症的发生。413例患者获得随访,随访率为92.4%,随访时间6~18个月,复发2例（0.44%）。结论 60岁以上老年人是手术高危人群,应重视老年腹股沟疝伴发疾病的围手术期处理,应制定个体化的围手术期处理方案。Objective To investigate the experience of perioperative management of inguinal hernia in elderly patients（〉 60 years old）. Methods A retrospective analysis was conducted on 447 elderly patients with non-incarcerated inguinal hernia who were admitted to our hospital from January 2013 to December 2014. Results All patients were cured and discharged. The mean operation time was 40 min,and the patients return to physical activity in 4 to 24 h. Wound compression and holding scrotum up were applied routinely to prevent edema. Incision pain on the day of operation occurred in 15 cases; acute urinary retention in 6 cases; and chronic pain in 2 cases. No scrotal hematoma or other complications occurred. The follow-up rate was 92. 4%. After a follow-up period of 6 to 18 months,2 cases developed recurrence（ 0. 44%）. Conclusion Patients over 60 years old is a high-risk group of surgery,should be pay more attention to perioperative management of the comorbidities. Individualized perioperative management should be considered.

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]