Abstract:

How to face the elderly inguinal hernia        CHEN Shuang.Department of Gastrointestinal Hernia and Abdominal Wall Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou 510566，China
Abstract    The incidence and outcome of inguinal hernia in different age groups are not the same. For patients over 65 years of age, surgeons should not only deal with local hernia diseases, neglecting other systems of chronic diseases companied. The clinical strategy of "watchful waiting" is not suitable for the situation in China. For the elderly patients with inguinal hernia aged 65 years and older, especially those with inguinal hernia in elderly women, it is safer to accept surgery in time. At the same time, elderly patients need to pay attention to the treatment of inguinoscrotal hernia. In addition, surgeons should not measure their academic level by their ability to operate and the age of their patients, but take the quality of life after their patients as criterion.

Key words: elderly, inguinal hernia, gerontology, watchful waiting, female inguinal hernia, inguinoscrotal hernia, ethics

摘要：

不同年龄段的老年腹股沟疝发病率和治疗结果并不相同。对于＞65岁病人不可只处理局部疝疾病的问题，而忽略病人同时伴有其他系统的“慢性病”。“观察等待（watchful waiting）”临床策略不适合我国国情。对年龄＞65岁的老年腹股沟疝病人，特别是老年女性腹股沟疝病人，只有更及时的手术治疗才是安全之策。同时，老年病人需要重视阴囊疝的处理。此外，医生不能以其手术能力可及对象的年龄高低来体现其学术水平，而应以病人术后的生活质量为衡量标准。

关键词: 老年, 腹股沟疝, 老年学, 观察等待, 女性腹股沟疝, 阴囊疝, 伦理学