局部麻醉在腹股沟疝无张力修补术的应用  

Application of local anesthesia for tension-free inguinal hernia repair

作　　者：乔世铭[1] 彭健[1] 

机构地区：[1]温州医学院研究生院,浙江省325035

出　　处：《江苏医药》2011年第10期1173-1174,共2页Jiangsu Medical Journal

摘　　要：目的比较局部麻醉和硬膜外麻醉下行腹股沟疝无张力修补术的效果。方法 120例腹股沟疝无张力修补患者随机均分为局部麻醉(A组)和硬膜外麻醉(B组)两组,对两组的手术时间、术后下床活动时间、术后伤口疼痛、术后尿潴留、麻醉满意率和住院费用等进行比较研究。结果 A组在手术时间、术后下床活动时间、术后尿潴留、住院费用等方面均优于B组(P<0.05)。结论局部麻醉下施行无张力疝修补术具有操作简单、患者痛苦小、恢复快、手术并发症少、住院时间短及住院费用低等优点。Objective To compare the outcomes of tension-free inguinal hernia repair under local anesthesia and epidural blockade.Methods A total of 120 case was operated for tension-free hernioplasty with mesh-plug made of PP,of whom 60 cases were given local anesthesia（group A） and the other 60 cases were treated with epidural blockade.The operation time,postoperative time staying in bed,wound pain,urine retention,satisfactory rate for anesthesia and medical costs were recorded and compared between two groups.Results Compared to group B,group A had shorter operation time,shorter postoperative time staying in bed,less postoperative complications such as retention of urine,and lower medical costs.Conclusion Tension-free inguinal hernia neoplasty under local anaethesia has the advantages of simple procedure,well toleration,minimal invasion,low risk of complications,shorter hospital stay and low medical costs.

关 键 词：腹股沟疝 无张力疝修补术 局部麻醉 硬膜外麻醉 

分 类 号：R614[医药卫生—麻醉学]