评估老年腹股沟疝患者坏死组织切除的风险因素。

Evaluation of risk factors for necrotic tissue resections in elderly patients with groin hernia.

出版信息

Ann Ital Chir. 2023;94:472-477.

PMID:37199472

Abstract

AIM

To reveal the relationships between patient findings and tissue resection in elderly patients.

MATERIALS AND METHODS

Between September 2020 and September 2022 three hundred eighty four patients over the age of 60 who were operated with the diagnosis of groin hernia were retrospectively analyzed. Gender, age, height, weight and body mass index value, groin and inguinal hernia types, hernia sides, primary or recurrent cases, hernia sac content, incarceration, tissue necrosis and resection presence, and accompanying pathologies were recorded. These findings were compared and evaluated in order to determine the relationships between patient findings and tissue resection, and the findings at risk for tissue resection.

RESULTS

Of the patients in the study, 352 (91.7%) were male and 32 (8.3%) were female. The mean age, height, weight and BMI were 67.48±5.893 years, 169.27±6.113 cm, 73.28±7.878 kg and 25,566±2.3518 kg/m2, respectively. There were 369 inguinal, 15 femoral, 285 indirect, 84 direct, 312 primary, and 72 recurrent hernias. Incarceration was present in 65 (16.9%) patients, 19 (4.9%) of these patients underwent resection due to tissue necrosis (twelve omentum and seven small intestine). Tissue resection was 3.1% in male, 25% in female, 4.3% in inguinal, 20% in femoral, 5.6% in indirect, 0% in direct, 3.5% in primary and 11.1% in recurrent hernias. Tissue resections were significantly higher in females, femoral hernias, indirect inguinal hernias and recurrent cases (p<0.05).

CONCLUSIONS

We can say that female gender, femoral, indirect and recurrent hernias are important risk factors for tissue resection in elderly patients.

KEY WORDS

Elderly Patients, Emergency Surgery, Groin Hernia, Incarceration, Tissue Resection.

摘要

目的

揭示老年患者的临床表现与组织切除之间的关系。

材料和方法

对 2020 年 9 月至 2022 年 9 月间诊断为腹股沟疝并接受手术治疗的 384 例 60 岁以上老年患者进行回顾性分析。记录患者的性别、年龄、身高、体重和 BMI 值、腹股沟和股疝类型、疝侧、原发或复发病例、疝囊内容物、嵌顿、组织坏死和切除情况以及伴随的病理情况。对这些发现进行比较和评估，以确定患者表现与组织切除之间的关系，以及存在组织切除风险的发现。

结果

在研究患者中，352 例（91.7%）为男性，32 例（8.3%）为女性。患者的平均年龄、身高、体重和 BMI 分别为 67.48±5.893 岁、169.27±6.113cm、73.28±7.878kg 和 25,566±2.3518kg/m2。其中有 369 例腹股沟疝、15 例股疝、285 例间接疝、84 例直接疝、312 例原发疝和 72 例复发疝。65 例（16.9%）患者发生嵌顿，其中 19 例（4.9%）因组织坏死（12 例网膜和 7 例小肠）而行切除。男性患者的组织切除率为 3.1%，女性患者为 25%，腹股沟疝为 4.3%，股疝为 20%，间接疝为 5.6%，直接疝为 0%，原发疝为 3.5%，复发疝为 11.1%。女性、股疝、间接腹股沟疝和复发疝的组织切除率显著更高（p<0.05）。