局麻下普理灵疝装置修补45例老年患者腹股沟疝临床效果分析  

Application of inguinal hernia repair with Prolene Hernia System under local anesthesa in elderly patients

作　　者：徐鹏远[1] 李为明[1] 岑云云[1] 孙大力[1] 刘剑[1] 陈雄志[1] 戚宇星[1] 

机构地区：[1]昆明医学院附属第二医院干疗外科,云南昆明650101

出　　处：《现代医药卫生》2009年第18期2729-2731,共3页Journal of Modern Medicine & Health

摘　　要：目的:总结局麻下应用普理灵疝装置(PHS)治疗老年腹股沟疝的效果。方法:应用1%利多卡因进行腹股沟区浸润阻滞麻醉,对45例老年(>65岁)腹股沟疝行PHS开放式无张力疝修补术。结果:45例均治愈,平均手术时间46 min,平均住院5 d。术后出现尿潴留5例,阴囊积液1例,无术后切口及深部感染、慢性疼痛、睾丸萎缩等并发症发生。随访5～24个月(平均12个月)无复发,无明显异物感。结论:局麻下应用PHS治疗老年腹股沟疝简单、安全、可靠。Objective：To summarize ~e clinical experience of tension-free repair for inguinal hernia by Prolene Hernia System （PHS） under local nesthesia.Methods：45 cases of inguinal hernia were analyzed retrospectively.Tension-free herniorrhapy using PHS patch was performed in all cases under local anesthesia. Results：All the eases were cured.Operation time was 25-60 min,no complication of incision infection and haematoma was found.The follow-up period ranged from 4-14 months, no recurrence and foreign body sensation in inguinal region were observed.Conchlsion：PHS herniorraphy under local anesthesia is a simple,safe and effective treatment for the elderly patients.specially suit for aged patients with weak posterior wall of inguinal duct, large defect and general complications.

关 键 词：局部麻醉 普理灵疝装置 无张力疝修补术 老年患者 

分 类 号：R6[医药卫生—外科学]