日间手术中心复合局部麻醉下腰骶部筋膜脂肪疝的治疗

Treatment of lumbar sacral fascial hernia under local anesthesia in ambulatory operations

目的探讨分析日间手术中心(ambulatory surgery center,ASC)复合局部麻醉下腰骶部筋膜脂肪疝的手术治疗体会。方法回顾性分析2012年10月至2013年7月,佛山市第一人民医院ASC接收手术治疗腰骶部筋膜脂肪疝患者33例的临床资料。手术方式:疝囊口扩大+内容物切除术。麻醉方式:复方利多卡因乳膏表面麻醉+啰哌卡因局部浸润麻醉。结果本组患者均在复合局部麻醉下顺利完成手术治疗,术中、术后无手术相关并发症发生。术后随访6个月,手术疗效价:优良率为93.94%。结论 ACS复合局部麻醉下手术治疗腰骶部筋膜脂肪疝疗效确切、安全可靠,减少了患者在院时间,节省了医疗成本。

Objective To investigate and analyse the experiences of surgical treatment of lumbosacral lipocele under combined local anesthesia in ambulatory surgery center （ASC）.Methods A total of 33 cases patients with lumbosacral lipocele who accepted a new surgical treatment in ASC of our hospital from October 201 2 to July 201 3 were enrolled and retrospectively analyzed.The hernia expanding plus contents resection were applied.The topical compound anesthesia of lidocaine cream and topical infiltration anesthesia with ropivacaine were used.Results All operations were successfully completed under the combined local anesthesia.No operation-related complication was observed.All patients were followed up for 6 months.Positive effects were achieved with an efficacy rate of 93.94%.Conclusions Lumbosacral lipocele can be successfully cured under combined local anesthesia in ASC.As a safe and reliable method,it can also reduce the hospitalization time and save medical costs.