老年嵌顿性腹股沟疝治疗策略

被引:9
作者
赵学飞
王明刚
机构
[1] 首都医科大学附属北京朝阳医院疝和腹壁外科
关键词
老年; 腹股沟疝; 嵌顿;
D O I
10.19538/j.cjps.issn1005-2208.2018.08.11
中图分类号
R656.21 [];
学科分类号
1002 ; 100210 ;
摘要
在我国老龄化社会背景下,老年病人逐渐增加,腹股沟疝在老年病人中发病率较高,其中不乏出现嵌顿的情况。老年病人基础疾病多,机体代偿能力差,一旦出现嵌顿治疗难度大,术前准备时间短,围手术期并发症发生率较高。传统观点认为针对此类病人的首要任务是解除嵌顿,其次是行疝修补术。老年病人如何选择急诊手术方式直接影响预后。开放手术因可采用局部麻醉,适用范围广,能够减少对老年病人全身的干扰。腹腔镜手术具有探查腹腔的优势,特别适合于腹股沟嵌顿疝的情况,但全身麻醉限制了其应用。此外,老年嵌顿性腹股沟疝病人围手术期的管理也应引起重视,综合评估才能提高治疗效果,降低并发症的发生率。
引用
收藏
页码:880 / 884
页数:5
相关论文
共 31 条
[1]   生物补片在疝和腹壁外科的应用及研究进展 [J].
陈富强 ;
申英末 .
中华疝和腹壁外科杂志(电子版), 2016, (05) :364-368
[2]   猪小肠黏膜下层脱细胞基质材料生物补片在腹腔镜经腹腹膜前疝修补术中的应用附视频 [J].
王宝山 ;
申英末 ;
陈富强 ;
陈杰 .
中华疝和腹壁外科杂志(电子版), 2016, (02) :85-88
[3]   腹股沟疝修补术局部浸润麻醉要点 [J].
宋应寒 ;
雷文章 .
中国实用外科杂志, 2014, 34 (05) :462-463
[4]   局部神经阻滞麻醉下的腹膜前腹股沟无张力疝修补术 [J].
陈杰 ;
那冬鸣 ;
申英末 .
中华疝和腹壁外科杂志(电子版), 2007, 1 (02) :77-79
[5]  
Spinal anesthesia is safe in laparoscopic total extraperitoneal inguinal hernia repair. A retrospective clinical trial[J] . Yildirim Dogan,Hut Adnan,Uzman Sinan,Kocakusak Ahmet,Demiryas Suleyman,Cakir Mikail,Tatar Cihad.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques . 2017 (4)
[6]   Prognostic Factors of Postoperative Morbidity and Mortality of Adult Strangulated Groin Hernia [J].
Lebeau, Roger ;
Traore, Mamadou ;
Anzoua, Kouakou Ibrahim ;
Kalou, Ismael Leh B. I. ;
N'Dri, Ahou Bernadette ;
Aguia, Brice ;
Kakou, Aka Gerard ;
Diane, Bamourou .
INDIAN JOURNAL OF SURGERY, 2016, 78 (03) :192-196
[7]  
Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study[J] . Bessa S S,Abdel-fattah M R,Al-Sayes I A,Korayem I T.Hernia : the journal of hernias and abdominal wall surgery . 2015 (6)
[8]  
Mesh Repair Versus Non-Mesh Repair for Strangulated Inguinal Hernia: Systematic Review with Meta-Analysis[J] . Hassen Hentati,Wajih Dougaz,Chadli Dziri.World Journal of Surgery . 2014 (11)
[9]  
Biomaterials: So Many Choices, So Little Time. What Are the Differences?[J] . John Hunter,Jamie Cannon.Clinics in Colon and Rectal Surgery . 2014 (04)
[10]  
Effect of intraoperative infiltration with local anesthesia on the development of chronic pain after inguinal hernia repair: A randomized, triple-blinded, placebo-controlled trial[J] . Anita Kurmann,Henning Fischer,Salome Dell-Kuster,Rachel Rosenthal,Laurent Audigé,Guido Schüpfer,Jürg Metzger,Philipp Honigmann.Surgery . 2014