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首页> 外文期刊>Annals of geriatric medicine and research. >Clinical Characteristics and Surgical Safety in Patients Older than 80 Years with Inguinal Hernia
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Clinical Characteristics and Surgical Safety in Patients Older than 80 Years with Inguinal Hernia

机译：80岁以上腹股沟疝患者的临床特征和手术安全性

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Background Inguinal hernia repair is a common surgical intervention in the elderly. The aim of this study was to describe the clinical characteristics and treatment outcomes in patients over 80 years of age undergoing inguinal hernia repairs. Methods We retrospectively reviewed the medical records of 150 patients older than 65 years of age who had undergone an inguinal hernia repair between January 2006 and December 2010. Dividing our subjects by age into two groups, 65 to 79 years and 80 years and older, we compared their clinical features and surgical outcomes. Results There were 122 patients (81.3%) in the 65 to 79 years group and 28 (18.7%) in the over 80 years group. Average body mass index was 22.8 kg/m2 in the 65 to 79 group and 21.8 kg/m2 in the over 80 group. Comorbidities were present in 63.9% of the cases in the 65 to 79 group and 67.9% in the over 80 group. American Association of Anaesthetists score was significantly higher in the over 80 group (1.6±0.3 vs. 1.9±0.3, p=0.046). Comparisons of operative time for each operative method were statistically not different. Postoperative hospital stay and analgesic use also showed no significant differences between the groups. Among the postoperative complications, wound hematoma was most prevalent in both groups but was not statistically different. There was no surgery-related mortality in either group. Conclusion Our results indicate that inguinal hernia repair can be done safely in those older than 80 years, unless there is high surgical risk per se .
机译：背景腹股沟疝修补术是老年人常见的外科手术。这项研究的目的是描述80岁以上接受腹股沟疝修补术的患者的临床特征和治疗结果。方法我们回顾性回顾了2006年1月至2010年12月间进行了腹股沟疝修补术的150例年龄在65岁以上的患者的病历。按年龄将受试者分为65至79岁和80岁以上的两组。比较了他们的临床特征和手术结果。结果65至79岁组有122例患者（81.3％），而80岁以上组有28例（18.7％）。 65至79组的平均体重指数为22.8 kg / m2，而80多个组的平均体重指数为21.8 kg / m2。 65至79岁组中有63.9％的病例合并症，而80岁以上组中有67.9％的病例合并症。在80多个组中，美国麻醉师协会评分明显更高（1.6±0.3对1.9±0.3，p = 0.046）。每种手术方法的手术时间比较在统计学上没有差异。两组之间的术后住院时间和止痛药使用也没有显着差异。在术后并发症中，伤口血肿在两组中最普遍，但无统计学差异。两组均无手术相关的死亡率。结论我们的结果表明，除非本身具有较高的手术风险，否则腹股沟疝修补术可以在80岁以上的人群中安全进行。

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