老年腹股沟疝腹腔镜治疗策略

被引：18

作者：

李健文

乐飞

机构：

[1] 上海交通大学医学院附属瑞金医院普外科上海市微创外科临床医学中心

来源：

中国实用外科杂志 | 2018年 / 38卷 / 08期

关键词：

老年; 腹股沟疝; 腹腔镜; 疝修补术;

D O I：

10.19538/j.cjps.issn1005-2208.2018.08.10

中图分类号：

R656.21 [];

学科分类号：

摘要：

老年腹股沟疝病人建议择期手术治疗。老年病人腹横筋膜松弛薄弱,腹膜前修补术是合理的选择。经腹腔腹膜前疝修补术（TAPP）和完全腹膜外疝修补术（TEP）是应用腹腔镜技术进行腹膜前修补,对于美国麻醉医师协会（ASA）分级1～2级的老年病人安全可行。老年病人行腹腔镜腹股沟疝修补术的疗效与总群体相似,术后在轻微并发症方面略有差异,如尿潴留比例升高、血清肿比例可能升高等;在慢性疼痛、舒适度评分、满意度等方面可能略有优势。高龄老年病人（>80岁）在选择TEP时需考虑腹膜外CO2气腹对病理生理的影响。

引用

页码：876 / 880

页数：5

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