超声引导局部神经阻滞麻醉下改良腹股沟疝双间隙无张力修补术的临床应用
초성인도국부신경조체마취하개량복고구산쌍간극무장력수보술적림상응용
Improving prolene hernia system tension-free repair for inguinal hernia under ultrasound-guided local nerve block anesthesia
  • 万方数据
    国际外科学杂志 국제외과학잡지
    International Journal of Surgery
    2015年 9期 594-596,封3 ,共4页

    蒋松松%陈刚%郑黎明%张凯

    장송송%진강%정려명%장개

    疝,腹股沟%超声检查%麻醉%无张力疝修补术 疝,腹股溝%超聲檢查%痳醉%無張力疝脩補術
    산,복고구%초성검사%마취%무장력산수보술
    Hernia,inguinal%Ultrasonography%Anesthesia%Tension-free herniorrhaphy
    目的 探讨超声引导局部神经阻滞麻醉下改良腹股沟疝双间隙无张力修补术的临床应用.方法 回顾性分析2013年1月-2014年1月南京大学医学院附属鼓楼医院收治的40例超声引导局部神经阻滞麻醉下改良腹股沟疝双间隙无张力修补术患者的临床资料,并进行分析总结.结果 超声引导局部神经阻滞麻醉组患者平均麻醉时间为(8.9±1.5) min,平均早期下床活动时间为(5.6±1.1)h,平均住院时间为(2.9±0.7)d;全麻组患者分别为(12.4±2.2) min、(1o.2±1.6)h和(3.7±0.7)d,差异均有统计学意义(P＜0.05).两组平均单纯手术时间分别为(22.6±2.0) min和(22.1±2.4) min,术后平均镇痛持续时间分别为(6.4±1.6)h和(6.1±1.5)h,差异无统计学意义(P＞0.05).讨论 超声引导局部神经阻滞麻醉下改良腹股沟疝双间隙无张力修补术麻醉效果好,操作简单、安全易行,手术疼痛轻,出血少,适应证广,改良腹股沟疝双间隙无张力修补术手术方式合理,值得推广运用.
    목적 탐토초성인도국부신경조체마취하개량복고구산쌍간극무장력수보술적림상응용.방법 회고성분석2013년1월-2014년1월남경대학의학원부속고루의원수치적40례초성인도국부신경조체마취하개량복고구산쌍간극무장력수보술환자적림상자료,병진행분석총결.결과 초성인도국부신경조체마취조환자평균마취시간위(8.9±1.5) min,평균조기하상활동시간위(5.6±1.1)h,평균주원시간위(2.9±0.7)d;전마조환자분별위(12.4±2.2) min、(1o.2±1.6)h화(3.7±0.7)d,차이균유통계학의의(P＜0.05).량조평균단순수술시간분별위(22.6±2.0) min화(22.1±2.4) min,술후평균진통지속시간분별위(6.4±1.6)h화(6.1±1.5)h,차이무통계학의의(P＞0.05).토론 초성인도국부신경조체마취하개량복고구산쌍간극무장력수보술마취효과호,조작간단、안전역행,수술동통경,출혈소,괄응증엄,개량복고구산쌍간극무장력수보술수술방식합리,치득추엄운용.
    Objective To investigate the application of improving prolene hernia system(PHS) tensionfree repair for inguinal hernia under ultrasound-guided local nerve block anesthesia.Methods Retrospective analysis the clinical data of 40 patients with improving prolene hernia system(PHS) tension-free repair for inguinal hernia under ultrasound-guided local nerve block anesthesia from January 2013 to January 2014 in Gulou Hospital of Nanjing University.Results In group of ultrasound-guided local nerve block anesthesia , the average anesthesia time was (8.9 ± 1.5) min, the time to get out of bed was (5.6 ± 1.1) h, the length of stay was (2.9 ± 0.7) d,There were (12.4 4± 2.2) min, (10.2 ± 1.6) h and (3.7 ±± 0.7) d in general anesthesia group, and significant difference(P ＜0.05), the average operation time of two groups were (22.6 ± 2.0) min, (22.1 ± 2.4) min,the average duration of postoperative analgesia was (6.4 ± 1.6) h, (6.1 4± 1.5) h, and no significant difference (P ＞ 0.05).Conclusions Improving prolene hernia system(PHS) tension-free repair for inguinal hernia under ultrasound-guided local nerve block anesthesia is simple , easy and safe to be performed with mild pain, faster recovery and less bleeding.It is worthy of popularization and application.
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