| 任杰,黄博.老年腹股沟疝特点及手术方式研究进展[J].安徽医药,2022,26(9):1697-1701. |
| 老年腹股沟疝特点及手术方式研究进展 |
| Advances in the characteristics and surgical methods of inguinal hernia in the elderly |
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| DOI：10.3969/j.issn.1009-6469.2022.09.001 |
| 中文关键词: 疝，腹股沟 开放式无张力疝修补术 腹腔镜疝修补术 老年人 |
| 英文关键词: Hernia, inguinal Open tension-free hernia repair Laparoscopic inguinal hernia repairs Aged |
| 基金项目: |
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| 中文摘要: |
| 老年腹股沟疝因其腹壁肌薄弱且常伴合并症，且最佳手术方式尚无统一结论。局麻下行Lichtenstein术由于操作简单、经济、术后并发症少，广受术者推崇；腹腔镜应用于老年腹股沟疝也被证实是安全、有效的，其中，腹腔镜腹膜前修补术(TAPP)可方便、无创地发现隐匿疝并同时进行修补；腹腔镜全腹膜外修补术(TEP)由于不进入腹腔，有效减少对老年病人腹腔脏器的干扰。老年腹股沟疝手术治疗方法各有特点，术者应就病人本身特点及对各种术式的掌握来选择最佳方式，以减少手术并发症及复发率。 |
| 英文摘要: |
| Elderly inguinal hernias are often associated with comorbidities due to weak abdominal wall muscles, and there is no consensus on the optimal surgical approach. At present, the operation of Lichtenstein under local anesthesia is widely respected by surgeons due to its simplicity, economy, and few postoperative complications; laparoscopy in elderly inguinal hernias has also been proven to be safe and effective. Among them, laparoscopic preperitoneal repair (TAPP) can conveniently and noninvasively find hidden hernias and repair them simultaneously; laparoscopic total extraperitoneal repair (TEP) can effectively reduce the interference to abdominal organs in elderly patients because it does not enter the abdominal cavity. The author summarizes the research on the characteristics and surgical treatment of elderly inguinal hernia at home and abroad in recent years and believes that the above methods have their own characteristics. Disease and recurrence rate in recent years and believed that the above methods have their own characteristics, and the surgeon should choose the best method according to the patient's own characteristics and mastery of various surgical methods to reduce surgical complications and recurrence rates. |
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