不同年龄完全腹膜外腔镜疝修补术的效果分析

Effect Analysis of Laparoscopic Total Extraperitoneal Herniorrhaphy in Different Ages

目的:分析不同年龄段完全腹膜外腔镜疝修补术(TEP)的效果。方法:选取2014年1月—2021年1月在无锡市人民医院行TEP的322例腹股沟疝患者为研究对象。14~44岁为青年组,45~59岁为中年组和>60岁为老年组。手术均采用TEP,对比各组术前住院时间、术后住院时间、术后并发症发生率、总住院时间、手术时间及住院费用。结果:老年组术前住院时间长于青年组、中年组,差异有统计学意义(P<0.05);中年组术后住院时间、总住院时间、手术时间短于青年组、老年组,差异有统计学意义(P<0.05)。三组术后并发症发生率、住院费用比较,差异无统计学意义(P>0.05)。结论:在TEP中,中年患者的手术难度相对较低,可能与各年龄段的解剖结构变化和疾病耐受程度有关。

Objective:To analyze the effect of laparoscopic total extraperitoneal herniorrhaphy(TEP)in different ages.Methods:From January 2014 to January 2021,322 patients with inguinal hernia who underwent laparoscopic TEP in Wuxi Municipal People's Hospital were selected as the study subjects.The patients aged 14-44 years were included as the youth group,those aged 45-59 years were included as the middle-aged group and those aged>60 years were included as the elderly group.All patients received TEP surgery.The preoperative length of hospital stay,postoperative length of hospital stay,incidence of postoperative complications,total length of hospital stay,operation time and hospitalization cost in each group were compared.Results:The preoperative length of hospital stay in the elderly group was longer than that in the youth group and the middle-aged group,and the difference was statistically significant(P<0.05).The postoperative length of hospital stay,total length of hospital stay,and operation time in the middle-aged group were shorter than those in the youth group and the elderly group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence of postoperative complications and hospitalization cost among the three groups(P>0.05).Conclusion:The difficulty of TEP surgery in middle-aged patients is relatively low,which is possibly related to the changes of anatomical structure and disease tolerance in different age groups.