高海拔地区中年腹股沟疝患者早期手术干预的临床价值

The Clinical Value of Early Surgical Intervention for Middle-Aged Patients with Inguinal Hernia in High-Altitude Areas

摘要: 高海拔地区有着独特的气候环境，低氧分压及空气干燥。腹股沟疝是发病率较高的腹部疾病，手术操作在较多基层医院都可开展。据统计全世界每年腹股沟疝手术有超过2000万例，手术是治疗疾病唯一有效的方式。老年患者发病率逐年增高，病史拖延时间久，同时在青年时间就存在腹股沟疝疾病，由于患者未重视自身疾病，发生绞窄性疝发生率也越来越高，一旦疝绞窄需立刻手术，此时患者死亡风险及术后并发症都很高。我国通常把60岁作为老年人的划分，国内男性退休年龄也是60岁。目前国内很少关于中年腹股沟疝患者早期干预或拖延手术治疗带来的不利影响探讨。本文从中年腹股沟疝患者提前干预的角度，通过文献检索及临床分析的方法对中年腹股沟疝患者早期干预进行论述，减少患者治疗费用及降低术后并发症发生率。

Abstract: High altitude areas have unique climatic environments, low oxygen partial pressure, and dry air. Inguinal hernia is an abdominal disease with a high incidence rate, and surgical procedures can be carried out in many basic hospitals. According to statistics, there are over 20 million cases of ingui-nal hernia surgery worldwide every year, and surgery is the only effective way to treat the disease. The incidence rate of elderly patients is increasing year by year, and their medical history has been delayed for a long time. At the same time, they have suffered from inguinal hernia disease in their youth. Because patients do not pay attention to their own diseases, the incidence of strangulated hernia is also increasing. Once strangulated hernia needs immediate surgery, at this time, the pa-tient’s risk of death and postoperative complications are high. In China, the age of 60 is usually clas-sified as elderly, and the retirement age for males in China is also 60 years old. At present, there is little discussion in China on the adverse effects of early intervention or delayed surgical treatment for middle-aged inguinal hernia patients. This article discusses the early intervention of mid-dle-aged inguinal hernia patients from the perspective of early intervention, through literature search and clinical analysis methods, in order to reduce treatment costs and reduce the incidence of postoperative complications.