CAJ | 학술논문

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。
목적：평개고령복고구산환자행국부마취하복고구산수보술위수술기안전성여가행성탐토。방법회고성분석2011년1월지2013년12월，상해교통대학부속제일인민의원수치고령복고구산환자80례，균행국부마취하복고구산수보술。관찰수술시간、술후주원시간、복발솔급병발증발생정황。결과본조환자수술시간45～75 min，평균（40±5）min，술후주원시간3～5 d，평균（2±1）d。절구감염9례，술후만성동통12례，장액종3례。술후수방3개월지2년，무복발。결론고령환자행국부신경마취하복고구산수보수술，술전중시수술풍험평고，가강위수술기관리，시안전유효적수술방식。
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 201 1 to December 201 3 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,1 2 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.