局麻下应用超普疝装置行老年腹股沟疝无张力修补术的临床研究

Study on application of ultrapro hernia system(UHS) in repairing inguinal hernia for senile patients under local anesthesia

目的探讨局麻下应用超普疝装置（Ultrapro Hernia System,UHS）行老年腹股沟疝无张力修补术的方法及临床疗效。方法总结分析我院自2012年1月至2013年12月期间收治的104例老年腹股沟疝患者,采用局麻下UHS疝装置行无张力疝修补术的临床资料,观察手术时间、术后下床活动时间、总住院天数、术后并发症等。结果 104例患者均治愈出院,手术时间35~105 min,平均55 min;术后下床活动时间2~24 h,平均10 h;总住院天数3~7 d,平均4.5 d。其中1例出现脂肪液化,2例出现皮下瘀血,2例出现阴囊积液,经穿刺抽液后治愈;均无切口感染、复发等并发症发生。结论局麻下应用超普疝装置（UHS）行老年腹股沟疝无张力修补术并发症少,其治疗效果安全可靠,是一种理想的手术方式,值得推广。

Objective To evaluate the advantages and clinical effects of Ultrapro Hernia System（ UHS）in tension- free inguinal hernia repair under local anesthesia. Methods A retrospective study was conducted to analyze the clinical data of the 104 patients who underwent tension- free hernia UHS repair in our hospital during January 2012 and December 2013. The duration of operation,out- of- bed activity time,hospital stay and the occurrence of complications were observed. Results All the 104 cases had positive results. The operation time were ranged from 35 to 105 minutes,and 55 minutes on average. Out- of- bed activity time was 2 to 24 hours,with a mean of 10 hours. And hospital stay was 3 to 7 days,4. 5days on average. Most of the cases significantly recovered without complications,except 1 case offat liquefaction,2cases of hypodermic hematoma and 2 cases of subcutaneous fluid,but recovered after application of puncture. No complication of such as infection and recurrence occurred. Conclusions The application of UHS in the repairing of senile inguinal hernia under local anesthesia was safe and reliable,this operation mode is worthy of popularization.