中华疝和腹壁外科杂志(电子版)
中華疝和腹壁外科雜誌(電子版)
중화산화복벽외과잡지(전자판)
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2014年
4期
313-315
,共3页
疝,腹股沟%疝修补术%老年人%日间住院医疗
疝,腹股溝%疝脩補術%老年人%日間住院醫療
산,복고구%산수보술%노년인%일간주원의료
Hernia,inguinal%Herniorrhaphy%Aged%Day care
目的:比较不同腹股沟疝无张力修补方式在高龄(≥70岁)患者中的疗效。方法回顾性分析2009年5月至2013年4月,首都医科大学宣武医院接受腹股沟疝无张力修补日间手术的253例老年患者的临床资料料。依据术式不同分为疝环填充式修补组(157例)及腹膜前间隙修补组(96例)。比较二组患者术后总体并发症率、腹股沟区慢性疼痛及疝复发率。结果腹膜前间隙修补组手术时间较疝环填充式修补组略长,但均未超过50 min。二组患者术中麻醉药用量差异均有统计学意义(t=2.081,P=0.032),术后镇痛比例比较差异有统计学意义(χ2=15.722,P=0.000)。疝环填充式修补组与腹膜前间隙修补组患者术后并发症率比较差异无统计学意义(χ2=0.024,P=0.878),术后复发率差异无统计学意义(P=0.636),术后切口区域慢性疼痛发生率差异无统计学意义(P=1.000)。结论老年患者经日间手术行腹股沟疝疝环填充式疝修补或腹膜前间隙修补均是安全可行的。
目的:比較不同腹股溝疝無張力脩補方式在高齡(≥70歲)患者中的療效。方法迴顧性分析2009年5月至2013年4月,首都醫科大學宣武醫院接受腹股溝疝無張力脩補日間手術的253例老年患者的臨床資料料。依據術式不同分為疝環填充式脩補組(157例)及腹膜前間隙脩補組(96例)。比較二組患者術後總體併髮癥率、腹股溝區慢性疼痛及疝複髮率。結果腹膜前間隙脩補組手術時間較疝環填充式脩補組略長,但均未超過50 min。二組患者術中痳醉藥用量差異均有統計學意義(t=2.081,P=0.032),術後鎮痛比例比較差異有統計學意義(χ2=15.722,P=0.000)。疝環填充式脩補組與腹膜前間隙脩補組患者術後併髮癥率比較差異無統計學意義(χ2=0.024,P=0.878),術後複髮率差異無統計學意義(P=0.636),術後切口區域慢性疼痛髮生率差異無統計學意義(P=1.000)。結論老年患者經日間手術行腹股溝疝疝環填充式疝脩補或腹膜前間隙脩補均是安全可行的。
목적:비교불동복고구산무장력수보방식재고령(≥70세)환자중적료효。방법회고성분석2009년5월지2013년4월,수도의과대학선무의원접수복고구산무장력수보일간수술적253례노년환자적림상자료료。의거술식불동분위산배전충식수보조(157례)급복막전간극수보조(96례)。비교이조환자술후총체병발증솔、복고구구만성동통급산복발솔。결과복막전간극수보조수술시간교산배전충식수보조략장,단균미초과50 min。이조환자술중마취약용량차이균유통계학의의(t=2.081,P=0.032),술후진통비례비교차이유통계학의의(χ2=15.722,P=0.000)。산배전충식수보조여복막전간극수보조환자술후병발증솔비교차이무통계학의의(χ2=0.024,P=0.878),술후복발솔차이무통계학의의(P=0.636),술후절구구역만성동통발생솔차이무통계학의의(P=1.000)。결론노년환자경일간수술행복고구산산배전충식산수보혹복막전간극수보균시안전가행적。
Objective To compare the results of different surgical procedures after day surgical repair of inguinal hernia in eldly patients(age≥70 years).Methods The medical data of eldly patients (253 cases)receiving day surgical repair of inguinal hernia who were admitted to Xuanwu Hospital,between May 2009 and April 201 3,were retrorespectively analyzed.The patients were subdivided into two groups according to the surgical procedurereceived,including Robbins&Rutkow group (1 57 cases)and Modified Kugel group (96 cases).We compared the overall complication rate,incidence of chronic pain in groin area, and recurrence rate of two groups.Results The operation time of Modified Kugel group was longer than Robbins&Rutkow group,but neither was over than 50 minutes.Both anesthetic dosage (t =2.081 ,P=0.032)and postoperative pain control(χ2 =1 5.722,P=0.000)in two groups were significantly different. But there were no differences in complication rate(χ2 =0.024,P=0.878),recurrence rate(P=0.636), and incidence of chronic pain (P =1 .000 ).Conclusion Both Robbins&Rutkow and Modified Kugel procedures in day surgery are safe and effective for eldly patients.