局部麻醉下老年人腹股沟疝Lichtenstein无张力修补术54例体会

Analysis of local anesthesia used in Lichtenstein unstressing hernia plastic operation in 54 patients with inguinal hernia

目的对局部麻醉下行Lichtenstein无张力疝修补术治疗老年人腹股沟疝的疗效进行评价。方法对54例老年腹人股沟疝患者在局部麻醉下行Lichtenstein无张力疝修补术的术中以及术后等情况进行随访观察。结果54例患者术中都获得良好的麻醉效果，术后恢复快，并发症少。52例患者获得随访，随访时间12-48m，无复发。结论局部麻醉下Lichtenstein无张力疝修补术，是一种对老年人身体机能干扰小、并发症少、恢复快、易于掌握的理想方法。

Objective To evaluate the effect of Lichtenstien unstressing hernia plastic operation for inguinal hernia with local anesthesia. Methods The clinical data of 54 patients with inguinal hernia, which underwent Lichtenstien unstressing hernia plastic operation with local anesthesia, were analyzed. Results All patients underwent good anaesthesia, and recovered quickly with low expense. Fifty-two patients receiving follow-up from 12 to 48 months did not show recrudes- cence. Conclusion Unstressing hernia plastic operation under local anesthesia is one ideal method for inguinal hernia with few complications with low expense, and could be easily used.