区域阻滞麻醉下行腹股沟疝无张力修补术的可行性探讨  

Feasibility of tension-free hernioplasty for inguinal hernia by regional nerve blockade anesthesia

作　　者：李月廷[1] 吴京涛[1] 刘绍辉[1] 王海[1] 邢承刚[1] 黄子正[1] 聂辰[1] 孔俊飞[1] 

机构地区：[1]北京中医药大学附属北京市中西医结合医院外科,100039

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第3期17-19,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨区域神经阻滞麻醉下行腹股沟疝无张力修补术的可行性。方法 2010年1月至2011年12月北京中医药大学附属北京市中西医结合医院外科采用区域阻滞麻醉,对53例腹股沟疝患者行善愈双层补片单侧腹股沟疝修补术。结果本组患者术中未辅助其他麻醉,区域麻醉效果良好,手术过程中,手术区域无明显疼痛,游离精索时无明显牵拉不适的感觉,手术时间平均50min,住院时间3～5d。结论区域阻滞麻醉容易操作,效果确切,可作为腹股沟疝修补术麻醉选择方式。Objective To explore the feasibility of tension-free hernioplasty for inguinal hernia by regional nerve blockade anesthesia. Methods From January 2010 to December 2011, 53 patients undergoing unilateral inguinal hernia hernioplasty with Shanyu bilayer mesh by regional nerve blockade anesthesia were included in this study. Results Other ways of anesthesia （e. g. vein anesthesia） weren＇ t applied to this group of patients. Regional nerve blockade anesthesia had postive effects that the patients suffered no obvious pains in the operational regions during the operation, and didnt feel apparent discomfort of traction when the spermatic cords were dissociated. The mean time of operation was 50 minutes, and mean time of hospitalization lasted 3 to 5 days. Conclusions The regional nerve blockade anesthesia with a definite effect is easy to handle, and could be used as a choice of anesthesia for inguinal hernia hernioplasty.

关 键 词：麻醉 局部 疝 腹股沟 无张力 疝修补术 

分 类 号：R656.2[医药卫生—外科学]