|
|
腹腔镜下腹股沟疝修补术在老年患者中的应用进展
|
Abstract:
腹股沟疝是普外科常见病症，老年患者由于其特殊性，是其高发人群。手术是目前治愈腹股沟疝的唯一有效选择。腹腔镜技术以其切缝面积小、术后疼痛较轻、恢复时间较短、复发率低等独有的特点，在临床中广为应用。同时，随着医疗水平的日益发达，出现了更多的新型腹腔镜技术。本文从老年患者角度，通过文献检索和临床调查的方式对腹腔镜技术在老年患者中的应用进展进行综述，以期为老年患者在临床中的治疗提供参考依据。
Inguinal hernia is a common disease in general surgery. Because of its particularity, elderly pa-tients are the high-risk group. At present, operation is the only effective choice to cure inguinal her-nia. Laparoscopic technique is widely used in clinic for its small incision area, less postoperative pain, short recovery time and low recurrence rate. At the same time, with the development of med-ical technology, there are more and more new laparoscopic techniques. This article reviews the ap-plication of laparoscopy in elderly patients by means of literature search and clinical investigation, in order to provide reference for the treatment of elderly patients in clinic.
| [1] | 唐健雄, 华蕾, 张逖, 陈革, 黄磊, 杨俭英, 王巍, 钱敏, 戴松林. 成人腹股沟疝患病情况的多中心研究[J]. 外科理论与实践, 2002, 7(6): 421-422. |
| [2] | 戴勇, 董晋, 胡毓. 警惕高龄患者隐匿性疾病诱发腹股沟嵌顿疝[J]. 中华疝和腹壁外科杂志(电子版), 2014, 8(6): 517-520. |
| [3] | Simons, M.P., Aufenacker, T., Bay-Nielsen, M., et al. (2009) European Hernia Society Guidelines on the Treatment of Inguinal Hernia in Adult Patients. Hernia, 13, 343-403. https://doi.org/10.1007/s10029-009-0529-7 |
| [4] | 陈双. 如何面对老年腹股沟疝[J]. 中国实用外科杂志, 2018, 38(8): 866-868.
https://doi.org/10.19538/j.cjps.issn1005-2208.2018.08.07 |
| [5] | 成人腹股沟疝诊断和治疗指南(2018年版) [J]. 中华疝和腹壁外科杂志(电子版), 2018, 12(4): 244-246. |
| [6] | 李航宇, 顾岩, 王明刚, 张光永. 老年腹股沟疝诊断和治疗中国专家共识(2019版) [J]. 中国实用外科杂志, 2019, 39(8): 782-787. https://doi.org/10.19538/j.cjps.issn1005-2208.2019.08.04 |
| [7] | 潘玉琴, 吴卫东, 方芳. 老年人腹腔镜腹股沟疝修补术(附56例报告) [J]. 外科理论与实践, 2012, 17(5): 490-493. |
| [8] | 唐维寅, 唐建雄. 老年腹股沟疝的外科治疗历史及现状[J]. 老年医学与保健, 2016, 22(2): 130-131. |
| [9] | 邱维龙. 老年腹股沟疝(≥65岁)腹腔镜下手术与开放式手术的临床效果比较[D]: [硕士学位论文]. 济宁: 济宁医学院, 2020. https://doi.org/10.27856/d.cnki.gjnyx.2020.000021 |
| [10] | 王红霞. 腹股沟疝的诊断和治疗进展[J]. 医学理论与实践, 2015, 28(14): 1871-1873.
https://doi.org/10.19381/j.issn.1001-7585.2015.14.022 |
| [11] | 陈思梦. 老年(高龄)女性腹股沟疝诊断及治疗方案选择[J]. 中国实用外科杂志, 2018, 38(8): 884-889.
https://doi.org/10.19538/j.cjps.issn1005-2208.2018.08.12 |
| [12] | Shakil, A., Aparicio, K., Barta, E., et al. (2020) In-guinal Hernias: Diagnosis and Management. American Family Physician, 102, 487-492. |
| [13] | HerniaSurge Group (2018) International Guidelines for Groin Hernia Management. Hernia, 22, 1-165.
https://doi.org/10.1007/s10029-017-1668-x |
| [14] | 杨慧琪, 刘敏, 申英末. 2018年国际腹股沟疝指南解读: 成人腹股沟疝管理(一) [J]. 中华疝和腹壁外科杂志(电子版), 2018, 12(5): 321-325. |
| [15] | Lee, R.K.L., Griffith, J.F. and Ng, W.H.A. (2015) High Accuracy of Ultrasound in Diagnosing the Presence and Type of Groin Hernia. Journal of Clinical Ultrasound, 43, 538-547. https://doi.org/10.1002/jcu.22271 |
| [16] | 曹灿灵. 腹股沟疝的腹腔镜手术治疗进展[J]. 齐齐哈尔医学院学报, 2015, 36(33): 5081-5082. |
| [17] | Berndsen, M.R., Gudbjartsson, T. and Berndsen, F.H. (2019) Inguinal Hernia-Review. Laeknabladid, 105, 385-391.
https://doi.org/10.17992/lbl.2019.09.247 |
| [18] | Decker, E., Currie, A. and Baig, M.K. (2019) Prolene Hernia System versus Lichtenstein Repair for Inguinal Hernia: A Meta-Analysis. Hernia, 23, 541-546. https://doi.org/10.1007/s10029-019-01897-w |
| [19] | 杨坤. 腹股沟疝患者的手术治疗进展[J]. 医疗装备, 2021, 34(20): 191-192. |
| [20] | 余磊, 魏寇准, 刘志刚, 陈光彬, 王志. 不同手术入路对腹腔镜下腹股沟疝修补术临床疗效[J]. 中华疝和腹壁外科杂志(电子版), 2021, 15(4): 361-365. |
| [21] | 骆鸣. 单孔腹腔镜胆囊切除术治疗老年急性胆囊炎的临床效果及安全性观察[J]. 基层医学论坛, 2021, 25(14): 1971-1972. https://doi.org/10.19435/j.1672-1721.2021.14.023 |
| [22] | 吴卫东. 单孔技术在腹外疝治疗中的应用[J]. 中华腔镜外科杂志(电子版), 2020, 13(4): 198-200. |
| [23] | 郑民华, 马君俊, 蔡正昊, 蔡秀军. 3D腹腔镜手术技术中国专家共识(2019版) [J]. 中国实用外科杂志, 2019, 39(11): 1136-1141. https://doi.org/10.19538/j.cjps.issn1005-2208.2019.11.03 |
| [24] | 严律南. 人工智能在医学领域应用的现状与展望[J]. 中国普外基础与临床杂志, 2018, 25(5): 513-514. |
| [25] | 任杰. 老年腹股沟疝术后慢性疼痛危险因素分析[D]: [硕士学位论文]. 太原: 山西医科大学, 2020.
https://doi.org/10.27288/d.cnki.gsxyu.2020.000971 |
| [26] | Nguyen, D.K., Amid, P.K. and Chen, D.C. (2016) Groin Pain after Inguinal Hernia Repair. Advances in Surgery, 50, 203-220. https://doi.org/10.1016/j.yasu.2016.04.003 |
| [27] | 覃代镭. 不同年龄层次的老年腹股沟疝病人术后并发症的析因性回顾分析[D]: [硕士学位论文]. 沈阳: 中国医科大学, 2019. https://doi.org/10.27652/d.cnki.gzyku.2019.000698 |
| [28] | 张绪锋, 陈春雷. 腹股沟疝术后并发症的防治研究进展[J]. 广东医科大学学报, 2021, 39(6): 765-769. |
| [29] | 穆拉迪力？阿瓦克. TAPP与开放式腹膜前间隙疝修补术治疗老年腹股沟疝临床疗效对比研究[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2021. https://doi.org/10.27433/d.cnki.gxyku.2021.000491 |
