无生活限制腹股沟疝外科手术实施效果分析

The analysed to implementation effect of inguinal hernia surgery without life limit

目的探讨腹股沟疝手术治疗无生活限制的可行性。方法选取北京大学深圳医院2011年1月至2012年12月,腹股沟疝住院患者319例,以上患者无严重的基础疾病,年龄21-65岁,根据患者自行选择的治疗方式分成4组,分别为A组87例,采用无生活限制的方法,即超声引导下神经阻滞麻醉下的UHS手术,B组71例,采用硬膜外阻滞麻醉下的UHS手术,C组89例,采用静脉复合全身麻醉下的腹腔镜全腹膜外腹股沟疝无张力修补术,D组72例,采用常规的局麻下的UHS手术比较并发症、术后对生活的限制、术后不适感、以及术后患者的接受程度,进行回顾性研究。结果 A组手术中麻醉效果好,术后没有并发症和生活限制,患者接受程度高,B、C、D组存在术后不同的并发症和医疗措施,无法全部恢复正常的生活,患者接受程度较低。结论优化的临床流程及周到的细节处理,可以达到腹股沟疝外科治疗的无生活限制的目的。

Objective To discuss the feasibility of inguinal surgery without life limit. Methods Selected 319 inpatients cases of inguinal hernia from January of 2011 to December of 2012,all of them had no severe basic deseases,which age between 21 to 65 years old,and had been divided into 4 groups on the basis of their medical choices,the A group had 87 cases,the therapy without life limit had been implement,that were the UHS operations after ultrasound guided nerve block anesthesia,the B group had 71 cases,that were the UHS operations after epidural block anesthesia,the C group had 89 cases,that were the laparoscopic total extraperitoneal inguinal hernia repair without tension,the D group had 72 cases,that were the UHS operations under the convention local anesthesia,a retrospective study was based on the compared the4 groups with the complications and the life limit and the patients acceptance level. Results The A group had good anaesthetic effect in inguinal hernial operations,and had no comlications and no life limit after operations,and had a high degree acception; The B group and the C group and the D group had defferent types of complications and medical interventions after operations,most of them could not return to normal life immediately,and had a lower degree acception. Conclusion The goal of inguinal hernia surgical treatment without life limit can reach by the optimized clinical patch combination and considerate detail management.