CAJ | 학술논문

目的：探讨局部神经阻滞麻醉下的腹膜前腹股沟无张力疝修补的应用。方法回顾性分析2012年1月至2013年12月，上海市第六人民医院收治的高龄腹股沟疝患者110例，行局部神阻滞麻醉下的腹膜前无张力疝修补。观察手术时间、住院时间、术后并发症。结果本组患者手术时间35～60 min，平均（45±5）min；住院时间2～3 d。术后出现尿潴留3例，阴囊浆液肿8例，慢性疼痛5例，无切口感染发生，随访4～12个月，无复发，无死亡患者。结论局部神经阻滞麻醉下的腹膜前无张力疝修补术是治疗高龄腹股沟疝患者较为理想的术式，临床治疗效果满意。
목적：탐토국부신경조체마취하적복막전복고구무장력산수보적응용。방법회고성분석2012년1월지2013년12월，상해시제륙인민의원수치적고령복고구산환자110례，행국부신조체마취하적복막전무장력산수보。관찰수술시간、주원시간、술후병발증。결과본조환자수술시간35～60 min，평균（45±5）min；주원시간2～3 d。술후출현뇨저류3례，음낭장액종8례，만성동통5례，무절구감염발생，수방4～12개월，무복발，무사망환자。결론국부신경조체마취하적복막전무장력산수보술시치료고령복고구산환자교위이상적술식，림상치료효과만의。
Objective To investigate the application of local nerve block anesthesia in preperitoneal tension-free inguinal hernia repair.Methods A total of 1 1 0 cases of elderly inguinal hernia which underwent preperitoneal tension-free hernia repair under local nerve block anesthesia in Shanghai No.6 People′s Hospital between January 201 2 and December 201 3,were analyzed retrospectively.The operating time,length of hospitalization stay and postoperative complications were observed.Results In this present series,the operating time was 35 to 60 minutes (mean of 45 ±5 minutes);the length of stay was 2 to 3 days.Urinary retention occurred in 3 cases,and scrotal seroma occurred in 8 cases.5 complained about chronic pain,no wound infection was observed.After a follow-up period of 4 to 1 2 months,there was no recurrence and death cases.Conclusion Preperitoneal tension-free hernia repair under local nerve block anesthesia have a satisfactory effect and have been shown to be an appropriate procedure for elder inguinal hernia patients.