[摘要] 目的 探討老年腹股溝疝接受腹膜外腹腔鏡疝氣修補(bǔ)術(shù)進(jìn)行治療的具體方法以及治療效果，為臨床疾病的治療提供有力的依據(jù)。方法 方便選取該院在2016年1月—2017年1月所接診的老年腹股溝疝患者資料100例開展對(duì)比分析，根據(jù)治療方案的差異對(duì)所選患者進(jìn)行分組，給予對(duì)照組50例傳統(tǒng)修補(bǔ)術(shù)進(jìn)行治療，給予研究組50例腹膜外腹腔鏡疝氣修補(bǔ)術(shù)治療，比較研究組和對(duì)照組患者的治療效果和并發(fā)癥產(chǎn)生情況，將所得各項(xiàng)數(shù)值進(jìn)行統(tǒng)計(jì)學(xué)計(jì)算。結(jié)果 研究組患者的手術(shù)時(shí)間（46.4±10.8）min、出血量（21.4±4.7）mL和住院時(shí)間（6.4±1.7）d顯著低于對(duì)照組手術(shù)時(shí)間（61.4±9.1）min、出血量（43.7±5.5）mL和住院時(shí)間（8.7±3.4）d，兩組對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；研究組患者中存在1例尿潴留，1例切口感染患者，對(duì)照組中存在2例尿潴留，4例切口感染患者，研究組患者產(chǎn)生并發(fā)癥的幾率顯著低于對(duì)照組，兩組對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 臨床中采用腹膜外腹腔鏡疝氣修補(bǔ)術(shù)治療老年腹股溝疝效果滿意，患者產(chǎn)生并發(fā)癥幾率低，應(yīng)該給予大力的推廣和應(yīng)用。
　　[關(guān)鍵詞] 老年腹股溝疝；復(fù)膜外腹腔鏡疝氣修補(bǔ)術(shù)；治療效果
　　[中圖分類號(hào)] R4 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2018）01（c）-0079-03
　　[Abstract] Objective This paper tries to summarize the methods and effects of laparoscopic inguinal hernia repair in elderly patients with inguinal hernia， and to provide a strong basis for the treatment of clinical diseases. Methods 100 cases in the hospital from January 2016 to January 2017 of elderly patients with inguinal hernia were convenient selected and carried out comparative analysis of them and then they were grouped according to the difference of treatment， 50 cases of the control group were treated with traditional hernia repair， 50 cases of the study group treated with extraperitoneal laparoscopic hernia repair， the treatment effect and complications of the study group and the control group were compared， and the obtained values were statistically calculated. Results The operation time of patients in the study group was（46.4±10.8）min， （21.4±4.7）mL amount of bleeding and hospitalization time was（6.4±1.7）d， significantly lower than the control group of operation time of （61.4±9.1）min，（43.7±5.5）mL amount of bleeding and hospitalization time was （8.7±3.4）d， with statistical differences （P<0.05）； 1 case of urinary retention， 1 patient with incision infection in the study group， 2 cases of urinary retention， 4 cases of incision infection in the control group， incidence of complications in patients with the study group was significantly lower than the control group， with statistically significant difference（P<0.05）. Conclusion The clinical application of extraperitoneal laparoscopic herniorrhaphy in elderly inguinal hernia is satisfactory， and the complication rate is low， so it should be widely promoted and applied.
　　[Key words] Inguinal hernia in elderly； Film covered laparoscopic hernia repair； Treatment effect
　　腹股溝疝屬于臨床中非常多見的一類外科疾病，一般傳統(tǒng)開放式腹股溝疝修補(bǔ)手術(shù)由于需要強(qiáng)行將不同類型組織開展有張力縫合，引發(fā)局部張力性牽扯感，同時(shí)會(huì)伴隨疼痛，對(duì)于患者下床活動(dòng)產(chǎn)生限制，根據(jù)大量臨床研究顯示，傳統(tǒng)腹股溝疝修補(bǔ)手術(shù)的復(fù)發(fā)幾率大概在10%～15%之間[1]。早在2000年臨床首次提出腹膜外腹腔鏡疝氣修補(bǔ)術(shù)，現(xiàn)在已經(jīng)被用于治療腹股溝疝，但是此種治療方式屬于簡(jiǎn)化手術(shù)操作，不會(huì)對(duì)疝囊進(jìn)行高位結(jié)扎，無(wú)需遵照疝修補(bǔ)原則，同時(shí)原疝囊位置中放置網(wǎng)塞團(tuán)塊，會(huì)使患者產(chǎn)生局部不適，長(zhǎng)期以往還會(huì)由于松動(dòng)移位等導(dǎo)致并發(fā)癥[2]。該文方便選取該院在2016年1月—2017年1月所接診的老年腹股溝疝患者資料100例開展對(duì)比分析，現(xiàn)匯報(bào)如下。

相關(guān)熱詞搜索：疝氣 腹膜 腹股溝 療效 老年