两种麻醉下成人腹股沟疝修补术的对比研究

Comparative study of inguinal hernia repair in adults under two kinds of anesthesia

目的:探讨两种不同麻醉下手术治疗成人腹股沟疝的疗效。方法:收治成人腹股沟疝患者120例,随机分为局麻组和硬膜外麻醉组,手术方式均选择无张力修补术,比较两组治疗效果。结果:局麻组的术后下床时间、术后尿潴留、术后进食时间、术后住院时间和住院费用均明显少于硬膜外麻醉组(P<0.05)。两组手术时间、术后疼痛评分、术后切口并发症和术后复发差异无统计学意义(P>0.05)。结论:局麻下行腹股沟疝无张力修补术具有术后恢复快、并发症少、住院时间短、费用低等优势。

Objective:To explore the effect of surgical treatment for inguinal hernia in adults under two kinds of anesthesia.Methods:120 adult patients with inguinal hernia were selected.They were randomly divided into the local anesthetic group and the epidural anesthesia group.The two groups were all treated with tension-free repair.We compared the efficacy of two groups.Results:In the local anesthesia group,the time of getting out of bed,postoperative urinary retention,postoperative eating time,postoperative hospital stay and hospitalization expenses were significantly lower than those in the epidural anesthesia group(P<0.05).Conclusion:Tension-free inguinal hernia repair under local anesthesia had obvious advantages,such as rapid postoperative recovery,less complications,shorter hospital stay and low cost.