CAJ | 학술논문

目的：总结分析局部麻醉下腹膜前无张力疝修补术治疗成人腹股沟疝的经验体会。方法回顾性分析2012年7月至2014年6月，南阳市第八人民医院收治的100例成人腹股沟疝患者，应用 D10补片局部麻醉下实施腹膜前无张力疝修补术的临床资料。结果100例患者手术均顺利完成，手术时间40～60 min，术后即可下地活动，术后当天出院，术后口服止痛药1～2次，出院后无需输液及拆线。术后回访3～20个月，无复发患者，无刀口感染，阴囊红肿6例，术区不适感4例，慢性疼痛3例。结论局部麻醉下腹膜前无张力疝修补术是一种简单安全的手术，具有术后恢复快、并发症少、疗效满意等优点。
목적：총결분석국부마취하복막전무장력산수보술치료성인복고구산적경험체회。방법회고성분석2012년7월지2014년6월，남양시제팔인민의원수치적100례성인복고구산환자，응용 D10보편국부마취하실시복막전무장력산수보술적림상자료。결과100례환자수술균순리완성，수술시간40～60 min，술후즉가하지활동，술후당천출원，술후구복지통약1～2차，출원후무수수액급탁선。술후회방3～20개월，무복발환자，무도구감염，음낭홍종6례，술구불괄감4례，만성동통3례。결론국부마취하복막전무장력산수보술시일충간단안전적수술，구유술후회복쾌、병발증소、료효만의등우점。
Objective To summarize the experience of preperitoneal tension-free hernia repair under local anesthesia for patients with inguinal hernia.Methods A total of 1 00 cases of inguinal hernia in The Eighth People′s Hospital of Nanyang City who underwent preperitoneal tension-free repair under local anesthesia with D1 0 mesh from July 201 2 to June 201 4,were enrolled and retrospectively analyzed.Results All the operations were successfully completed,with the operating time ranged 40 to 60 minutes.Normal activity could be achieved exactly after the operation,and the patients were discharged at the same day.Oral analgesics might be needed 1 to 2 times.Infusion and suture removal were unnecessary.After a follow-up of 3 to 20 months,no recurrence,wound infection and scrotal swelling were observed.And there were 4 cases of discomfort sensation and 3 cases of chronic pain in operative area.Conclusion Preperitoneal tension-free hernia repair under local anesthesia is a simple and safe procedure,which has the advantages of rapid recovery,less complications and good outcome.