CAJ | 학술논문

目的：探讨分析日间手术中心（ambulatory surgery center，ASC）复合局部麻醉下腰骶部筋膜脂肪疝的手术治疗体会。方法回顾性分析2012年10月至2013年7月，佛山市第一人民医院ASC接收手术治疗腰骶部筋膜脂肪疝患者33例的临床资料。手术方式：疝囊口扩大＋内容物切除术。麻醉方式：复方利多卡因乳膏表面麻醉＋哌卡因局部浸润麻醉。结果本组患者均在复合局部麻醉下顺利完成手术治疗，术中、术后无手术相关并发症发生。术后随访6个月，手术疗效价：优良率为93．94％。结论 ACS复合局部麻醉下手术治疗腰骶部筋膜脂肪疝疗效确切、安全可靠，减少了患者在院时间，节省了医疗成本。
목적：탐토분석일간수술중심（ambulatory surgery center，ASC）복합국부마취하요저부근막지방산적수술치료체회。방법회고성분석2012년10월지2013년7월，불산시제일인민의원ASC접수수술치료요저부근막지방산환자33례적림상자료。수술방식：산낭구확대＋내용물절제술。마취방식：복방리다잡인유고표면마취＋고잡인국부침윤마취。결과본조환자균재복합국부마취하순리완성수술치료，술중、술후무수술상관병발증발생。술후수방6개월，수술료효개：우량솔위93．94％。결론 ACS복합국부마취하수술치료요저부근막지방산료효학절、안전가고，감소료환자재원시간，절성료의료성본。
Objective To investigate and analyse the experiences of surgical treatment of lumbosacral lipocele under combined local anesthesia in ambulatory surgery center (ASC).Methods A total of 33 cases patients with lumbosacral lipocele who accepted a new surgical treatment in ASC of our hospital from October 201 2 to July 201 3 were enrolled and retrospectively analyzed.The hernia expanding plus contents resection were applied.The topical compound anesthesia of lidocaine cream and topical infiltration anesthesia with ropivacaine were used.Results All operations were successfully completed under the combined local anesthesia.No operation-related complication was observed.All patients were followed up for 6 months.Positive effects were achieved with an efficacy rate of 93.94%.Conclusions Lumbosacral lipocele can be successfully cured under combined local anesthesia in ASC.As a safe and reliable method,it can also reduce the hospitalization time and save medical costs.