CAJ | 학술논문

目的探讨老年腹股沟疝手术方式选择、围手术期处理及并发症的防治。方法回顾分析2001年1月~2011年1月收治的146例60岁以上腹股沟疝患者手术治疗的临床资料。结果146例患者手术后均痊愈出院。2例复发，均为单纯缝合修补术患者，无张力修补患者未见复发病例。术后腹股沟区及阴囊形成血肿11例，术区血清肿1例，术区疼痛2例。结论老年腹股沟疝手术首选无张力修补，重视围手术期内科并存疾病的处理，科学评估手术风险，能提高手术安全性和预防并发症的发生。
목적탐토노년복고구산수술방식선택、위수술기처리급병발증적방치。방법회고분석2001년1월~2011년1월수치적146례60세이상복고구산환자수술치료적림상자료。결과146례환자수술후균전유출원。2례복발，균위단순봉합수보술환자，무장력수보환자미견복발병례。술후복고구구급음낭형성혈종11례，술구혈청종1례，술구동통2례。결론노년복고구산수술수선무장력수보，중시위수술기내과병존질병적처리，과학평고수술풍험，능제고수술안전성화예방병발증적발생。
Objective To investigate the operation method selection, perioperative management and prevention of complications of the inguinal hernia in elderly patients. Methods Retrospective analysis of the146 cases surgery treatment in elderly inguinal hernia patients over 60 years with clinical data from January 2001 to January 2011. Results Al 146 patients were cured after surgery. The two cases of recurrence are patients with simple suture, no recurrence have been seen in patients with tension-free repair. After surgery, there are 11 cases with hematoma in the area of either Groin or Scrotum, 1 case with seroma in surgical area, and 2 case with pain. Conclusions Tension-free repair should be preferred for elderly patients with inguinal hernia. Paying at ention to perioperative treatment of medical comorbidities and scientific assessment of surgical risk can improve surgical safety and prevent the existence of complications.