老年腹壁切口疝的治疗进展

Advances in the treatment of abdominal incisional hernia in the elderly

切口疝是腹部外科手术后一种常见的并发症。老年人因腹壁结构退化具备切口疝形成的解剖基础,同时大部分合并易致术口感染及腹内压升高的基础疾病,因此,老年人腹壁切口疝的发病率较高。腹壁切口疝早期可无明显症状且老年人感觉相对迟钝,可导致疝内容物日渐增多,严重影响其日常生活,甚至发生嵌顿或绞窄性疝危及生命。针对高龄患者的特点,妥善处理围手术期及选择合适的手术方式是治疗的关键。

Incisional hernia is a common complication after abdominal surgery.Because of the degeneration of the abdominal wall,the elderly have the anatomical basis for the formation of incisional hernias.At the same time,most of the elderly have diseases that result in wound infection and the abdominal pressure increasing.Therefore,the incidence of abdominal incision hernia in the elderly is much more higher.Beacuse of the abdominal incisional hernia with no obvious symptoms in the early stage and the elderly patients are relatively insensitive,which lead to hernia contents growing in size,that seriously affect the daily life of ages,and even incarcerated or strangulated hernia life-threatening.The key to treatment is to grasp the characteristics of elderly patients,properly perioperative treatment and selection of appropriate surgical methods.