CAJ | 학술논문

目的：探讨局部麻醉下腹膜前无张力疝修补术在老年腹股沟疝患者中的临床应用。方法回顾性分析2011年1月至2014年10月北京市垂杨柳医院在局部麻醉下行腹膜前无张力疝修补术的109例老年腹股沟疝患者临床资料，分析手术时间、术中麻醉效果、术后并发症、手术费用、平均住院时间和术后随访情况。结果本组患者均顺利完成手术，术中麻醉效果良好，单侧手术时间平均52 min，术后未出现尿潴留，术后随访2～36个月，2例患者出现阴囊浆液肿和血肿，1例出现切口感染。患者平均住院时间为2．6 d，平均住院费用为4318元。有 2例患者复发。结论局部麻醉下腹膜前无张力疝修补术安全可靠，麻醉效果好，手术适应证广，术后并发症少，恢复快，住院时间短且具有良好的效价比，适用于老年患者。
목적：탐토국부마취하복막전무장력산수보술재노년복고구산환자중적림상응용。방법회고성분석2011년1월지2014년10월북경시수양류의원재국부마취하행복막전무장력산수보술적109례노년복고구산환자림상자료，분석수술시간、술중마취효과、술후병발증、수술비용、평균주원시간화술후수방정황。결과본조환자균순리완성수술，술중마취효과량호，단측수술시간평균52 min，술후미출현뇨저류，술후수방2～36개월，2례환자출현음낭장액종화혈종，1례출현절구감염。환자평균주원시간위2．6 d，평균주원비용위4318원。유 2례환자복발。결론국부마취하복막전무장력산수보술안전가고，마취효과호，수술괄응증엄，술후병발증소，회복쾌，주원시간단차구유량호적효개비，괄용우노년환자。
Objective To evaluate the effect of local anaesthesia for preperitoneal tension-free hernioplasty in senile patients. Methods 1 09 cases aged patients with preperitoneal tension-free hernioplasty under local anaesthesia from January 201 1 to October 201 4 in Beijing Chuiyangliu Hospital were analyzed retrospectively.The operating time,anaesthesia effect,postoperative complications,cost,length of stay and follow-up were noted.Results All the patients were successfully finished operation with good anaesthetic effect.The average operative time was 52 minutes with unilateral hernia.No urinary retention, 1 case of wound infection and 2 cases of scrotal seroma/hematoma occured after operations.The average hospital stays was 2.6 days,and the mean cost was 4 31 8 yuan With a follow-up of 2 to 36 months.two recurrence were observed.Conclusion The preperitoneal tension-free hernioplasty under local anaesthesia is a safe and credible operation procedure,and has shown good anaesthesia effect,wide operation indication, low complication rate,rapid recovery and short hospitalization stay,which is particularly suitable for aged patients.