摘要
[摘要 ] 目的 探讨老年腹股沟疝接受腹膜外腹腔镜疝气修补术进行治疗的具体方法以及治疗效果，为临床疾病的治疗提供有力的依据。方法 方便选取该院在 2016年 1月— 2017年 1月所接诊的老年腹股沟疝患者资料 100例开展对比分析，根据治疗方案的差异对所选患者进行分组，给予对照组 50例传统修补术进行治疗，给予研究组 50例腹膜外腹腔镜疝气修补术治疗，比较研究组和对照组患者的治疗效果和并发症产生情况，将所得各项数值进行统计学计算。结果 研究组患者的手术时间（ 46.4±10.8） min、出血量（ 21.4±4.7） mL和住院时间（ 6.4±1.7） d显著低于对照组手术时间（ 61.4±9.1） min、出血量（ 43.7±5.5） mL和住院时间（ 8.7±3.4） d，两组对比差异有统计学意义（ P<0.05）；研究组患者中存在 1例尿潴留， 1例切口感染患者，对照组中存在 2例尿潴留， 4例切口感染患者，研究组患者产生并发症的几率显著低于对照组，两组对比差异有统计学意义（ P<0.05）。结论 临床中采用腹膜外腹腔镜疝气修补术治疗老年腹股沟疝效果满意，患者产生并发症几率低，应该给予大力的推广和应用。
[关键词 ] 老年腹股沟疝；复膜外腹腔镜疝气修补术；治疗效果
[Abstract] Objective To explore the specific methods and therapeutic effects of extraperitoneal laparoscopic hernia repair for the elderly inguinal hernia, and to provide a strong basis for the treatment of clinical diseases. Methods it is convenient to select 100 cases of the elderly inguinal hernia patients in the hospital from January 2016 to January 2017 for comparative analysis. According to the difference of treatment plan, the selected patients were divided into groups, and 50 cases of the control group were treated with traditional repair, and 50 cases of the study group were treated with extraperitoneal laparoscopic hernia repair. The treatment effect and complications of the study group and the control group were compared For the occurrence of the disease, all the data obtained shall be statistically calculated. Results the operative time of the study group (46.4 + 10.8) min, the amount of bleeding (21.4 + 4.7) mL and the length of stay (6.4 + 1.7) d were significantly lower than those of the control group (61.4 + 9.1) min, the bleeding volume (43.7 5.5 5.5) mL and the hospital stay (8.7 * 8.7) d, the difference between the two groups was statistically significant (P<0.05); there were cases of urinary retention in the study group, and infection in the incision cases. There were 2 cases of urinary retention and 4 cases of incision infection in the group * the incidence of complications in the study group was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusion extraperitoneal laparoscopic herniorrhaphy is an effective method in the treatment of elderly inguinal hernia, and the incidence of complications is low.
出版日期
2020年04月27日（中国期刊网平台首次上网日期，不代表论文的发表时间）
