局部麻醉下无张力疝修补术治疗高龄腹股沟疝患者的临床观察  

Evaluation of tension-free hernioplasty under local anaesthesia in elder patients

作　　者：袁吕荣[1] 刘文生[1] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院普外科,210014

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第5期34-35,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的评价对高龄患者行局部麻醉下腹股沟疝无张力修补术的安全性与可行性。方法选取南京市中西医结合医院2013年3月至2014年3月行局部麻醉下腹股沟疝无张力修补术100例患者的临床资料,按照年龄分为二组,高龄组患者(>70岁)52例,低龄组患者(≤70岁)48例,比较二组患者术前一般情况,手术时间、术后疼痛、并发症及住院时间。结果高龄组患者手术时间、术后疼痛及并发症发生率与低龄组比较,差异无统计学意义(P<0.05);高龄组术后住院时间(5.5±4.2)d较低龄组(2.3±1.8)d长,差异有统计学意义(P<0.05)。结论对高龄患者实施局部麻醉下腹股沟疝无张力修补术是一种安全、有效、可靠的手术方式。Objective To evaluate the feasibility of tension-free inguinal hernia repair under local anaesthesia in elder patients. Methods A total of 100 cases of herniorrhaphy under local anaesthesia were enrolled in the study from March 2013 to March 2014. The patients were divided into two groups according to age： elder group（ age 70 years,n = 52） and young group（ age ≤ 70 years,n = 48）. General data,operating time,postoperative pain,complications and length of hospitalization stay were compared. Results There were no obvious differences in operation time,postoperative pain and complication rate between two groups. The mean hospital stay after operation was longer in elder group,and the different was statistically significant. Conclusion The tension-free inguinal hernia repair under local anaesthesia is safe,effective and reliable in the elder patients.

关 键 词：疝 腹股沟 疝修补术 老年人 复合麻醉 

分 类 号：R656.21[医药卫生—外科学]