普理灵三合一疝修补装置在老年腹股沟疝修补术中的应用

The observation of follow-up and application of the prolene hernia system in inguinal hernioplasty of aged patients

目的了解普理灵三合一疝修补装置（PHS）在老年腹股沟疝患者修补术中的应用特点、围手术期管理及效果。方法对应用PHS进行无张力修补术的69例老年腹股沟疝患者进行回顾性分析。结果手术时间45～160min，术后使用止痛剂20例，伴发尿潴留12例，阴囊水肿3例，肺部感染1例，切口感染及淤血2例。68例术后2～3周后均能从事日常活动。随访时间6～77个月，死亡6例，无复发，2例偶有患侧不适感，无异物感及疼痛。结论PHS对腹股沟区解剖结构松弛、薄弱以及缺损范围大的老年腹股沟疝患者的疝修补效果确切，手术安全易行。

Objective To explore applied characteristics of the prolene hernia system （PHS） in inguinal hernioplasty,and management during and after operation, and long-term effect of this kind of hernioplasty in aged patients. Methods 69 aged patients using PHS were followed and analyzed retrospectively. Results Tension-free inguinal hernioplasty with the PHS were performed in 69 aged patients of groin hernia. Operative time ranged from 45rain to 160min. Post-operatively,3 patients developed gentle scrotal swelling, and 20 patients had been adminis- tered anodyne for pain of incision, and 12 cases experienced retention of urine, 1 case developed pneumonia, and 2 cases occurred incisional infection and gore. 68 eases of them recovered daily life about 2 to 3 weeks after operation. During follow-up period from 6 months to 77 months,there was no recurrence of inguinal hernia and no pain in in- guinal region, but 2 patients feel discomfort sporadically. Conclusion The PHS strengthens the myopectineal orifice and seals up-area of it,so the system is especially preferred in treating aged patients of groin hernias who have some defects of anatomic structure in inguinal region, The local anaesthesia is also suitable for this kind of hernioplasty in aged patients.