老年腹股沟疝无张力修补临床治疗分析

Clinical Analysis of Tension-free Herniorrhaphy for Elderly Inguinal Hernia

目的探讨老年腹股沟疝采用无张力疝修补术治疗的临床有效性与安全性。方法以2013年1月—2016年12月我院收治的39例老年腹股沟疝患者为研究对象,全部患者均行平片无张力疝修补术,观察患者基本手术指标,统计并发症及复发率。结果患者平均手术时间(42.7±6.1)min,下地活动时间(7.5±1.6)h,术后住院时间(5.2±0.9)d,术后疼痛VAS评分(2.5±1.1)分,疼痛持续时间(1.2±0.3)d,并发症发生率5.13%,复发率2.56%。结论无张力疝修补术治疗老年腹股沟疝效果显著,患者术后疼痛轻,并发症少,恢复快,复发率低,应用安全有效。

Objective To evaluate the clinical effcacy and safety of tension-free hernioplasty in the treatment of inguinal hernia in elderly patients. Methods 39 cases of elderly patients with inguinal hernia from January 2013 to December 2016 in our hospital were selected as the research object, all the patients underwent tension-free hernioplasty, basic surgical statistical indicators, complications and recurrence rate of patients were observed. Results The average operation time of the patients was （42.7±6.1） min, ambulation time was （7.5±1.6） h, postoperative hospitalization time was （5.2±0.9） d, postoperative pain VAS score was （2.5±1.1） points, pain duration time was （1.2±0.3） d, the incidence of complications was 5.13%, recurrence rate was 2.56%. Conclusion Tension-free hernioplasty for elderly patients with inguinal hernia is effective, with less postoperative pain, less complications, rapid recovery, low recurrence rate, it is safe and effective.