局麻下无张力疝修补术临床分析

Clinical analysis of tension-free hernia repair under local anesthesia

目的探讨分析局部麻醉下无张力疝修补手术的临床应用效果。方法选取收治的86例行腹股沟疝(IH)修补手术治疗的患者,按照数字随机法将其分为两组,即对照组(43例)采用传统疝修补手术予以治疗,观察组患者(43例)行局部麻醉下无张力疝修补手术,详细记录两组患者的手术操作时间、术中出血量情况,使用VAS疼痛评分评价患者术后疼痛程度,统计术后感染发生率、住院时间,出院后随访6个月统计复发率情况。结果观察组患者平均手术时间为(38.6±4.0)min、术中出血量为(11.8±4.9)m L、平均住院时间为(6.0±2.5)d,对照组相应数据为(56.6±5.5)min、(17.4±5.2)m L、(8.6±1.7)d,两组数据对比差异显著(P<0.05);观察组患者并发症发生率、复发率等均低于对照组,VAS评分对照组高于观察组,数据对比差异显著(P<0.05)。结论腹股沟疝治疗时采用局部麻醉下无张力疝修补手术能够缩短手术时间、降低患者术后的疼痛程度、提升治疗的安全性,缩短恢复时间。

Objective To analyze the clinical effect of tension-free hernia repair surgery under local anesthesia. Methods 86 eases of patients with inguinal hernia （IH） repair surgery were selected, Aeeording to the digital random method, the patients were divided into two groups, namely the control group （43 eases） was treated with traditional hernia repair surgery, and the observation group （43 eases） was treated with tension-free hernia repair surgery under loeal anesthesia. The operation time and the blood loss of two groups were reeord. Postoperative pain degree of patients was evaluated by VAS pain seore. Postoperative infeetion rate, hospitalization time and reeurrenee rate at 6 months after diseharge were counted. Results In the observation group, the average operation time was （38.6 ±4） min, the amount of blood loss was （11.8 ± 4.9） mL, the average length of stay was （6 ± 2.5） d. The eorresponding data in the control group were （56.6 ± 5.5） min, （17.4 ± 5.2） mL, and （8.6± 1.7） d. The differenees were significant between the two groups （P 〈 0.05）. The ineidenee rate of eomplieations and recurrence rate of observation group were lower than those of control group, VAS seore in the eontrol group was higher than that in the observation group, with significant differenees （P 〈 0.05）. Conclusion In the treatment of inguinal hernia, tension-flee hernia repair under local anesthesia ean shorten the operation time, reduce the pain of patients, improve the safety of treatment, and shorten the recovery time.