成人腹股沟疝患者微创手术效果分析  

作　　者：朱卫安 钟发明 

机构地区：[1]浙江省武义县第一人民医院,321200

出　　处：《浙江临床医学》2018年第5期913-914,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 探究成人腹股沟疝患者的微创手术效果.方法 选取2015年1月至2017年1月成人腹股沟疝患者98例,所有患者均采用经腹腹膜前修补术治疗,依据患者年龄将其分为年龄〈60岁非老年组（31例）与年龄≥60岁的老年组（67例）.比较两组患者手术情况、术后情况和术后6个月内并发症发生情况.结果 老年组患者比非老年组患者重量型补片使用率高,差异有统计学意义（P〈0.05）;两组患者术中出血量、单侧疝、双侧疝手术时间差异无统计学意义（P〉0.05）.非老年组患者疼痛持续时间、下床活动时间和住院时间均短于老年组患者,止痛药物使用率低于老年组患者,非老年组与老年组患者术后6个月内并发症总发生率分别为12.88％和20.88％,差异有统计学意义（P〈0.05）.结论 成人腹股沟疝患者经腹腔镜腹股沟疝修补术安全有效,但非老年患者与老年患者应选择适当修补方式和补片材料,且老年患者较非老年患者术后恢复慢,术后6个月内并发症发生率高,应提早预防.Objective To investigate the effect of minimally invasive surgery on adult patients with inguinal hernia. Methods A total of 98 patients with inguinal hernia were selected from January 2015 to January 2017. All patients were treated by peritoneal prefovement repair, the patients were divided into non-elderly group 〈60 years old group （ n=31 ） and age ≥60 years of the elderly group （ n=67 ） . The two groups of patients with the operation, postoperative and postoperative complications within 6 months were compared. Results There was no significant difference in the operation time between the two groups （ P〉0.05 ） . There was no significant difference in the operation time between the two groups （ P〉0.05 ） . The duration of pain in the non-elderly group was shorter than that in the elderly group. The use rate of analgesic drags was lower than that of the elderly group. The total incidences of complications in the non-elderly group and the elderly group within 6 months were 12.88% and 20.88%, respectively, and the difference was statistically significant （ P〈0.05 ） . Conclusion The laparoscopic inguinal hernia repair is safe and effective in adult patients with inguinal hernia, but the appropriate repair methods and patch materials should be chosen correcdy. Older patients recovered more slowly than non-elderly patients, the incidence of complications within 6 months after surgery was high and should be prevented early.

关 键 词：腹股沟疝 非老年 老年 腹腔镜腹股沟疝修补术 

分 类 号：R323.32[医药卫生—人体解剖和组织胚胎学]