摘要
目的探讨局麻和腰硬联合麻醉下李金斯坦腹股沟疝修补术的不同效果。方法回顾性总结和分析本院206例行李金斯坦腹股沟疝修补术的临床资料,其中94例(A组)腰硬联合麻醉下完成,112例(B组)局麻下完成,比较两组住院时间、住院费用、手术时间、术中出血、术中疼痛、术后尿潴留、术后阴囊肿胀、术后感染,术后复发。结果 206例均顺利完成,B组在住院时间、住院费用、术后尿潴留方面显著低于A组(P<0.05);两组手术时间、术中出血、术后阴囊肿胀、术后感染,术后复发比较差异无统计学意义;术中疼痛B组显著高于A组(P<0.05)。结论局麻下行李金斯坦腹股沟疝修补术较腰硬联合麻醉具有费用低,住院时间短等优点,术中疼痛虽然高,但患者可耐受,是一种安全有效、值得推广的方法。
Objective To explore the different effects of the administration of Lichtenstein Tension-Free Hernioplasty under anesthesia and Combined spinal anesthesia. Methods Retrospective summary and analysis of 206 clinical data of routine Lichtenstein Tension-Free Hernioplasty and 94 cases(group A), Combined spinal anesthesia, in 112 cases(group B) done under local anesthesia, length of hospital stay, compare two groups hospitalization cost, operation time, intraoperative bleeding, intraoperative and postoperative urine retention, postoperative pain scrotal swelling, postoperative infection, postoperative recurrence. Results 206 cases were successfully completed, and group B was significantly lower than group A(P<0.05) in hospital time, hospital expenses and postoperative urinary retention. Surgical time, intraoperative hemorrhage, postoperative scrotal swelling and postoperative infection, there was no significant difference between group A and group B(P<0.05). The pain group B was significantly higher than group A(P<0.05). Conclusion Lichtenstein Tension-Free Hernioplasty under local anesthesia is waist hard joint anesthesia with low cost,shorter hospitalization time etc, and intraoperative pain while high, but the patient can tolerate, is a kind of safe and effective method.
出处
《当代医学》
2018年第4期42-43,共2页
Contemporary Medicine
关键词
李金斯坦腹股沟疝修补术
局麻
腰硬联合麻醉
Lichtenstein Tension-Free Hernioplasty
Local anesthesia
Combined spinal anesthesia
