老年人行腹膜前疝修补术后复发因素的研究进展  

Research progress of relapse factors in older patients undergoing preperitoneal hernia repair

作　　者：朱康贝 张方捷[2] 戚亚钦 贺茗梁 潘怡 李佳仪 Zhu Kangbei;Zhang Fangjie;Qi Yaqin;He Mingliang;Pan Yi;Li Jiayi(Fourth Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou First People's Hospital,Hangzhou 310053,China;Department of Hernia and Abdominal Wall Surgery,Hangzhou First People's Hospital,Hangzhou 310006,China)

机构地区：[1]浙江中医药大学第四临床医学院、杭州市第一人民医院,杭州310053 [2]杭州市第一人民医院疝和腹壁外科,杭州310006

出　　处：《中华老年医学杂志》2025年第1期99-104,共6页Chinese Journal of Geriatrics

基　　金：浙江省基础公益研究计划项目(LGF20H030007);浙江省中医药科技计划(2024ZL715)。

摘　　要：腹股沟疝是老年人多发的普外科疾病之一,开放或腔镜下用补片进行手术修补是目前唯一可治愈的手段。经腹膜前间隙的无张力疝修补术作为主流术式之一,有效解决了传统术式引起的术区张力大、术后易疼痛不适、降低患者生活质量等问题,但仍存在一定的术后复发率。本文旨在探讨疝气手术领域对于腹膜前疝修补术这一术式的研究不足,从医源性、患者个体差异性及补片3大方面综合分析了引起该术式术后复发的主要因素,为降低术后复发率的理论建设和实际应用提供支持。Inguinal hernia is one of the most prevalent general surgical conditions affecting the elderly population.Currently,open or laparoscopic surgical repair represents the only curative approach.Among various surgical techniques,tension-free hernia repair via the preperitoneal space effectively addresses the complications associated with traditional surgical methods,such as excessive tension in the surgical area,postoperative pain and discomfort,and a subsequent decline in patients'quality of life.Nevertheless,a certain recurrence rate persists.This paper aims to highlight the insufficient research on preperitoneal hernia repair procedures within the field of hernia surgery and to conduct a comprehensive analysis of the primary factors contributing to postoperative recurrence.This analysis will be approached from three key perspectives:medical origins,individual patient variability,and the characteristics of the patch used.The goal is to provide a foundation for the theoretical framework and practical strategies aimed at reducing postoperative recurrence rates.

关 键 词：疝 复发 腹股沟 危险因素 

分 类 号：R65[医药卫生—外科学]