局部浸润麻醉与硬膜外麻醉下无张力疝修补术疗效比较

Clinical comparison between local anaesthesia and epidural block anaesthesia in tension-free hernioplasties

目的比较不同麻醉方法下无张力疝修补术的临床疗效。方法腹股沟疝89例随机分为两组，分别采用局部浸润麻醉下手术和硬膜外麻醉下手术，手术方法均为无张力疝修补术。结果在手术时间、术后早期活动、住院时间、术后疼痛、术后早期并发症及治疗费用等方面，局部浸润麻醉组明显优于硬膜外麻醉组。结论局部浸润麻醉下无张力疝修补术治疗腹股沟疝安全可靠，可广泛推广。

Objective To investigate and to compare the clinical curative efficacies of local anaesthesia and epidural block anaesthesia in tension-free hernioplasties. Methods 89 patients hospitalized were randomly divided into two groups, with each of them respectively adopting the two types of anaesthesia methods（ local anaesthesia and epidural anaesthesia） to cure inguinal hernia, operation methods is tension-free hernioplasties. Results The results show that in terms of duration of operation, early-phase activities after operation, time of hospitalization, post-operation pains, early-phase complication after operation and treatment expenses etc, local anaesthesia is undoubtedly superior to epidural block anaesthesia. Conclusion Tension-free hernioplasties under local anaesthesia is worth clinical promotion to benefit all the patients.