摘要
目的探讨局麻下疝修补术在老年腹股沟疝中的应用。方法回顾性分析我科2003年至2007年在局麻下行疝修补术的143例老年腹股沟疝患者的临床资料。结果对于合并各种疾病的老年腹股沟疝患者,局麻的镇痛效果良好,对患者的干扰小,扩大了手术适应证,使用合适大小的补片代替或修复腹横筋膜的腹膜前间隙疝修补疗效确切、符合生理、痛苦小、并发症少,本组患者均痊愈出院,随访至今无复发。结论对于合并各种疾病的老年腹股沟疝患者,局麻下腹膜前间隙疝修补具有不可替代的优势。
Objective To investigate the application of hernia repair under local anesthesia in se- nile inguinal hernia. Methods Through analyzed retrospectively clinical data of 143 cases of senile ingui- nal hernias with herniorrhaphy under local anesthesia in our department from 2003 to 2007. Results For the senile inguinal hernia patients with various kinds of diseases, local anesthesia had a good analgesic effect and less interference to the patients, widened the operation indcation, hernia repair in preperitoncal gap with patch of suitable size to instead or plcrosis endoabdominal fascia had advantages of exactly curative effect, in line with the physiology, less pain, fewer complications. All the patients were cured, followed-up so far no recurrence. Conclusions Under local anesthesia, hernia repair in preperitoneal gap possessed unsucceda- neous advantage for the senile inguinal hernia with various kinds of diseases.
出处
《中华疝和腹壁外科杂志（电子版）》
2009年第2期36-38,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
麻醉
局部
疝修补
老年人
Hernia, inguinal
Anesthesia, local
Hernia repair
The aged
