老年(高龄)病人腹股沟疝无张力修补术研究进展

Advances in the study of tension-free repair of inguinal hernia in elderly patients

腹股沟疝是腹腔内脏器通过腹股沟区的缺损向体表突出所形成的包块,外科手术干预是治疗腹股沟疝最有效的方法。随着社会老龄化,高龄腹股沟疝病人的数量呈上升趋势。高龄病人多合并有其他基础疾病,对麻醉及手术方式的选择带来了挑战。高龄病人腹股沟疝修补术式选择仍存在争议,这使得对不同的研究结果进行Meta分析及系统评价变得更加复杂。我们对高龄腹股沟疝病人腹股沟疝修补术式选择、优缺点和术后并发症等进行综述。

Inguinal hernia is the mass formed by the abdominal visceral mass protruding through the defect in the inguinal region.Surgical intervention is the most effective method for the treatment of inguinal hernia.With the aging of society,the number of patients with high age inguinal hernia is on the rise.In addition,because of the high age of patients with more than the other basic diseases,this poses certain challenges to the choice of anesthesia and surgical methods.The choice of inguinal hernia repair in elderly patients is still controversial,which makes the Meta-analysis and systematic evaluation of different research results more complicated.This article discusses the choice of inguinal hernia repair in elderly patients with inguinal hernia,and will present the latest research progress in terms of its advantages and disadvantages,postoperative complications.