局麻下无张力疝修补术对治疗高龄老人腹股沟疝的疗效观察

Clinical observation of tension-free hernia repair under local anesthesia for the treatment of inguinal hernia in the elderly

目的观察局麻下无张力疝修补术对高龄患者腹股沟疝的治疗效果。方法选取2014年3月至2016年5月我院收治的56例高龄腹股沟疝患者作为研究对象。56例患者随机分为对照组和观察组,每组28例。其中对照组在连续硬膜外麻醉下行腹股沟疝无张力修补术,观察组在局麻下行无张力疝修补术。结果观察组患者相较于对照组患者,手术时间、术后卧床时间以及住院时间更短,尿潴留发生率更低,住院费用更低,二者差异P<0.05,具有统计学意义;而术中出血量及切口感染等并发症方面,两组差异P>0.05,不具有统计学意义。结论高龄腹股沟疝患者在局麻下行无张力修补术具有手术适应症更宽泛、手术时间短、可尽早下床运动及术后并发症少的优势,并且缩短住院时间,降低住院费用,值得在临床上推广。

Objectives To observe the therapeutic effect of tension-free hernia repair on elderly inguinal hernia under local anesthesia. Methods In this study,56 elderly patients with inguinal hernia treated in our hospital from March 2014 to May 2016 were selected as the study subjects. 56 patients were randomly divided into control group and observation group,28 patients in each group. The control group in the continuous coin anesthesia underwent inguinal hernia without tension repair,observation group in the local anesthesia under tension-free hernia repair. Results The incidences of urinary retention were lower and hospitalization costs were lower in the observation group than in the control group. The difference was statistically significant（P〈0. 05）,while the operative time,bed rest time and hospital stay were shorter. Blood loss and incision infection complications,the difference between the two groups P〉0. 05,not statistically significant. Conclusions Elderly patients with inguinal hernia in the local anesthesia without tension repair surgery indications with a broader,shorter operation time,get out of bed as soon as possible exercise and postoperative complications of the advantages,and shorten the length of stay,reduce hospital costs,it is worth in clinical Promotion.