局部麻醉下无张力疝修补术治疗腹股沟疝的临床疗效

发布时间：2018-04-24 09:17

本文选题：局部麻醉 + 无张力疝修补术　；参考：《世界最新医学信息文摘》2016年91期

【摘要】：目的了解腹股沟疝患者在局部麻醉状态下进行无张力疝修补术治疗的临床效果。方法纳入本院2014年-2016年期间收治腹股沟疝患者80例相关基线资料为此次研究分析数据来源,所有患者均用无张力疝修补术治疗,其中40例麻醉状态为硬膜外麻醉患者设为对照组,另40例麻醉状态为局部麻醉患者设为观察组。比较不同麻醉状态下患者手术指标及预后质量。结果比较两种麻醉方式下患者无张力疝修补术的手术时间、术中出血量、平均住院时间等指标,从数据分析提示两者统计学处理无意义,P0.05;患者术后并发症发生概率,提示观察组出现例数明显低于对照组,组间数据用统计学软件处理,P0.05,提示有意义。结论选择无张力疝修补术治疗的腹股沟疝患者,用局部麻醉方式能够填补不适用普通麻醉处理患者的缺陷,应用对象范围更加广阔,同时不对手术过程造成消极影响,术后质量相对更高,值得推广。
[Abstract]:Objective to investigate the clinical effect of tension-free hernia repair in patients with inguinal hernia under local anesthesia. Methods from 2014 to 2016, 80 patients with inguinal hernia were treated with tension-free hernioplasty. 40 cases of epidural anesthesia and 40 cases of local anesthesia were established as control group and observation group respectively. The surgical indexes and prognostic quality of patients under different anesthetic conditions were compared. Results the operative time, blood loss and average hospitalization time of tension-free herniorrhaphy were compared between the two anesthetized patients. The data analysis showed that there was no significant difference between the two groups (P 0.05), and the probability of postoperative complications was not significant (P 0.05). The number of cases in the observation group was significantly lower than that in the control group, and the data between the groups were processed with statistical software (P 0.05). Conclusion the patients with inguinal hernia treated by tension-free herniorrhaphy can fill the defect of the patients who are not suitable for general anesthesia by using local anesthesia, and the scope of application is wider, and the operation process will not be affected negatively. Postoperative quality is relatively high, worth popularizing.
【作者单位】：青海省河南县人民医院外科;
【分类号】：R656.21

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