首都医科大学学报 ›› 2008, Vol. 29 ›› Issue (6): 770-772.

• 临床研究 • 上一篇    下一篇

局部神经阻滞麻醉在老年腹股沟疝患者无张力修补术中的应用

王明刚, 陈杰, 刘素君, 申英末, 包少瑜, 朱大伟   

  1. 首都医科大学附属北京朝阳医院疝和腹壁外科
  • 收稿日期:2008-07-29 修回日期:1900-01-01 出版日期:2008-12-24 发布日期:2008-12-24

Clinical Experience on Local Nerve Blockade Anaesthesia for Tension-free Inguinal Hernia Repairing in the Senile Patients

Wang Minggang, Chen Jie, Liu Sujun, Shen Yingmo, Bao Shaoyu, Zhu Dawei   

  1. Department of Hernia and Abdominal Wall Disease Surgery, Beijing Chaoyang Hospital, Capital Medical University
  • Received:2008-07-29 Revised:1900-01-01 Online:2008-12-24 Published:2008-12-24

摘要: 目的 探讨局部神经阻滞麻醉在腹股沟疝无张力修补术中的临床应用.方法 对2002年2月至2008年6月问收治的3257例老年腹股沟疝患者在局部神经阻滞麻醉下行腹股沟疝无张力修补术,分析手术时间、术中麻醉效果、术后合并症、手术费用、平均住院日和术后随访情况.结果 手术时间为18~50min,平均28min,术巾麻醉效果好,术后未出现尿潴留.有36例患者出现阴囊浆液肿和血肿,1例出现切口感染,28例出现切口下血肿,5例出现术后慢件疼痛.患者平均住院开为2.9d,平均手术费用为4267元.平均随访48个月,有4例患者复发,异物感不明显.结论 局部神经阻滞麻醉下腹股沟疝无张力修补术安全可靠,麻醉效果好,手术适应证广,术后合并症少,恢复快,住院时间短且具有良好的效价比,特别适用于老年患者.

关键词: 局部神经阻滞麻醉, 腹股沟疝, 无张力疝修补, 老年患者

Abstract: Objective To evaluate the curative effect of local nerve blockade anaesthesia for tension-free inguinal hernia repairing in senile patients.Methods 3257 senile patients with tension-free hernioplasty under local nerve blockade anaesthesia from Feb2002 to Jun2008 in our center were analyzed.Results The operative time was 18 to 50 minutes at average time 28 minutes.All patients had good anaesthetic condition and no urinary retention,except one case with infective wound,36 cases with scrotal hydrocles and 5 cases with chronic pain.The average stay in hospital was 2.9 days,and the average cost was 4267 yuan(RMB).4 cases had recurrence and no one had the feeling of foreign body follow-up in an average of 48 months.Conclusion The open groin tension-free hernioplasty under local nerve blockade anaesthesia is a safe and credible operation procedure.

Key words: local nerve blockade anaesthesia, inguinal hernia, tension-free hernioplasty, senile patients

中图分类号: