高龄腹股沟疝患者的围手术期处理  

Perioperative management of elderly patients with inguinal hernia

作　　者：陈德键[1] 缪传文[1] 

机构地区：[1]上海交通大学附属第一人民医院疝中心,200080

出　　处：《中华疝和腹壁外科杂志（电子版）》2014年第4期49-50,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的评价高龄腹股沟疝患者行局部麻醉下腹股沟疝修补术围手术期安全性与可行性探讨。方法回顾性分析2011年1月至2013年12月,上海交通大学附属第一人民医院收治高龄腹股沟疝患者80例,均行局部麻醉下腹股沟疝修补术。观察手术时间、术后住院时间、复发率及并发症发生情况。结果本组患者手术时间45～75 min,平均(40±5)min,术后住院时间3～5 d,平均(2±1)d。切口感染9例,术后慢性疼痛12例,浆液肿3例。术后随访3个月至2年,无复发。结论高龄患者行局部神经麻醉下腹股沟疝修补手术,术前重视手术风险评估,加强围手术期管理,是安全有效的手术方式。Objective To evaluate the safety and feasibility of perioperative period of inguinal hernia repair under local anesthesia in elderly patients. Methods A total of 80 cases of elderly patients with inguinal hernia who received inguinal hernia repair under local anesthesia from January 2011 to December 2013 in the First People＇s Hospital Affiliated to Shanghai Jiao Tong University were retrospectively analyzed. The operation time, length of postoperative stay, recurrence rate and complications were observed. Results The mean operation time of patients in this group was （40±5） minutes （range 45 to 75 minutes）, and the average length of postoperative stay was （2±1 ） days （ range 3 to 5 days）. 9 wound infections, 12 chronic postoperative pain, 3 seroma occurred. Patients were followed up for 3 months to 2 years, and no recurrence was observed. Conclusions Inguinal hernia repair under local anesthesia have been shown to be a safe and effective procedure,while preoperative assessment of operation risks and perioperative management should be stressed and improved.

关 键 词：疝 腹股沟 麻醉 局部 手术后并发症 老年人 

分 类 号：R656.21[医药卫生—外科学]