腹腔镜腹股沟疝修补在老年患者中的应用

Application of Laparoscopic Inguinal Hernia Repair in Elderly Patients

目的:研究腹腔镜腹股沟疝修补术在老年患者中的应用价值。方法:回顾性收集安徽医科大学第二附属医院于2015~2020年收治并接受手术治疗的140例老年患者腹部沟疝患者的临床资料,对照组(60例)行腹股沟疝无张力修补术,观察组(80例)腹腔镜下腹股沟疝修补手术。对比分析两组患者的一般资料及手术相关指标。结果:观察组患者的单侧疝手术时间、术后住院时间明显比对照组短,术中出血量明显比对照组少(P 【0.05),双侧疝手术时间较对照组差异无统计学意义(P 【0.05)。术后并发症(疝复发、血清肿、尿潴留、肠麻痹、皮下气肿)发生率均低于对照组(P 【0.05)。结论:老年患者行腹腔镜腹股沟疝手术安全、有效。

Objective: To evaluate the value of laparoscopic inguinal hernia repair in elderly patients. Methods: Clinical data of 140 elderly patients with abdominal sulcus hernia who received surgical treatment in the Second Affiliated Hospital of Anhui Medical University from 2015 to 2020 were retrospectively collected. The control group (60 cases) underwent tension-free inguinal hernia repair, and the observation group (80 cases) underwent laparoscopic inguinal hernia repair. The general data and operation related indexes of the two groups were compared and analyzed. Results: The operative time and postoperative hospital stay of unilateral hernia patients in the observation group were significantly shorter than those in the control group, and the intraoperative blood loss was significantly less than that in the control group (P <0.05), while the operative time of bilateral hernia had no statistical significance compared with the control group (P <0.05). The incidence of postoperative complications (hernia recurrence, seroma, urinary retention, intestinal paralysis, subcutaneous emphysema) was lower than that of the control group (P <0.05). Conclusion: Laparoscopic inguinal hernia surgery in elderly patients is safe and effective.