无张力疝修补术治疗老年腹股沟疝89例临床分析

Clinical Analysis of Mesh-Plug Tension-free Hernia Repair for Inguinal Hernia in Elderly Patients

目的:探讨疝环充填式无张力疝修补术治疗老年腹股沟疝的临床疗效。方法:对89例接受疝环充填式无张力疝修补术的老年腹股沟疝患者的临床资料进行回顾性分析。结果:89例手术均获成功,手术时间45～90 min,平均(52.3±7.6)min。术后并发尿潴留3例,阴囊水肿2例,伤口感染3例。随访3月～3年,平均(1.7±0.9)年,2例复发。结论:与传统疝修补术相比,疝环充填式无张力疝修补术具有局部无张力、操作简单、术后恢复快、并发症少、复发率低等优点,是治疗老年腹股沟疝的合理手术方法。

Objective：To explore the clinical effects of Mesh-Plug tension-free hernia repair in the treatment of inguinal hernia in elderly patients.Methods：The clinical data were retrospectively analyzed of 89 elderly cases with inguinal hernia receiving Mesh-Plug tension-free hernia repair.Results：All the operations were successfully.The operating time was 45-90min（mean 52.3±7.6 min）.After operation,3 cases were with urine retention,2 case with scrotal edema,3 cases with wound infection.During the follow-up（3months-3 years,mean 1.7±0.9 years）,2 cases recurred.Conclusions：Compared with traditional hernia repair,Mesh-Plug tension-free hernia repair has the advantages of local tension-free,easier surgical operation,quicker postoperative recovery,fewer complications and lower recurrence rate,therefore it is a reasonable hernia repair for inguinal hernia in elderly patients.