年龄作为腹壁切口的患者手术干预的非禁忌:一个探索和分析
Haonan Huang1,2,3, Ning Ma1,2,3, Zehui Hou1,2,3
1Department of General Surgery (Hernia and Abdominal Wall Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Langenbeck's archives of surgery
|August 12, 2025
概括
腹壁切口 (IH) 的手术修复对所有年龄组有效. 结局,包括并发症和复发,在60岁以上和60岁以下的患者之间是相似的,无论年龄,都支持手术.
科学领域:
- 一般外科 整体外科
- 腹壁外科手术 腹壁外科手术
- 椎间板裂修复 椎间板裂修复
背景情况:
- 腹壁切口 (IH) 手术具有治愈潜力,但由于伴随疾病和恢复复杂性,在老年人中存在挑战.
- 在60岁以上的患者中,IH的管理策略需要仔细考虑与年龄相关的因素.
- 这项研究调查了按年龄分层的IH患者的术后结果.
研究的目的:
- 为了比较年龄在60岁以下和60岁以上接受内肠道修复的患者之间的术后结果.
- 为了确定IH手术后并发症和复发率的年龄相关差异.
- 评估在不同年龄人口群体中对IH进行手术干预的可行性.
主要方法:
- 对从2018年12月到2023年3月接受IH手术治疗的304名患者的回顾性分析.
- 患者被分为两组:年龄<60岁和≥60岁.
- 基线,手术内特征,术后并发症和复发率的比较.
主要成果:
- 总共分析了304名患者;86名 (<60岁) 和218名 (≥60岁).
- 老年患者患高血压和ASA得分的患病率更高;手术后的特征相似.
- 术后结局,不包括长时间住院治疗在≥60组,没有显著的与年龄相关的差异;1年复发在<60组为零.
结论:
- 切口的术后并发症和复发率并没有受到患者年龄的显著影响.
- 对切口的手术干预建议患者不论年龄,只要它是可行的.
- 年龄不应该是IH修复的禁忌,强调手术治疗的好处.
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