摘要
目的:比较局部麻醉和硬膜外麻醉在腹股沟无张力疝修补术中的应用。方法:将我院2008年1月至2010年12月收治的单侧腹股沟疝病例132例随机分组对比,观察腹股沟疝患者行疝环充填式无张力修补术后的早期自主活动、进食、排尿以及住院时间等情况,局麻组78例(n=78),硬膜外组54例(n=54)。结果:在局麻下行疝环充填式无张力疝修补术较之硬膜外麻醉有更宽的手术指征,且术后进食早,下床早,排尿困难明显降低,住院时间缩短,费用也较低(P<0.05)。结论:在局麻下行疝环充填式无张力疝修补术,是一种对人体生理功能干扰小、术后恢复快、并发症少、简单易掌握适合老年患者的方法之一。
Aim： To study the efficiency and benefit of tension-free inguinal hernia repair with local anesthesia compared with epidural block anesthesia.Methods： All of the 132 cases were performed tension-free hernioplasty with mesh-plug made of PP.Seventy-eighty cases were treated under local anesthesia and the other 54 cases were treated with epidural block anesthesia.And the operating time,postoperative complications such as retention of urine,wound pain,postoperative time staying in bed,hospitalization costs and recurrence were observed.Results： Compared with the epidural block anesthesia group,the local anesthesia group had shorter operating time,less postoperative complications such as retention of urine,lower costs and shorter postoperative time staying in bed（P0.05）.Conclusion：The tension-free inguinal hernia repair under local anesthesia compared with epidural block anesthesia had many benefits such as less postoperative complications,shorter postoperative time staying in bed and lower hospitalization costs.And it had less side effect on the whole body,thus it is espeeially suitable for old patients.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
北大核心
2011年第4期434-436,共3页
Journal of Jinan University(Natural Science & Medicine Edition)
基金
广州市番禺区科技计划项目(2010-Z-128-1)
关键词
腹股沟疝
无张力疝修补
局部麻醉
硬膜外麻醉
inguinal hernia
tension-free hernioplasty
local anesthesia
epidural block anesthesia
