【摘要】 目的:通过与硬膜外麻醉比较,评价在局部麻醉下行腹股沟疝修补术的可行性。方法:回顾性分析我院采用人工合成材料行腹股沟无张力修补术的263例成年患者,分为局部麻醉组(112例)和硬膜外组(151例)。结果:局部麻醉组患者住院费用和术后尿潴留的发生率均明显小于硬膜外组,两组比较差异有统计学意义(P<0.05)。而平均手术时间、住院时间、术后疼痛评分、伤口感染和疝气复发两组比较则差异无统计学意义(P>0.05)。结论:成人局部麻醉下进行无张力疝修补术是一种安全、有效的方式。更多还原

【Abstract】 Objective:The evaluation of the feasibility of local anesthesia inguinal hernia repair operation by comparing with epidural anesthesia.Methods:Analyze the use of synthetic materials,tension-free repair of inguinal operation in 263 adult patients,which was carried out in our hospital.The patients were divided into local anesthesia group(112 cases)and epidural group(151 cases).Results:The hospitalization costs and the incidence of urinary retention in the local anesthesia group were significantly lower than that of the epidural group.The difference has statistically significant(P<0.05).However,there was no statistically significance if we compared the average operation time,hospital staying, postoperative pain scores,wound infection and hernia recurrence respectively between the two groups(P>0.05).Conclusions:It was a safe and effective way to carry out tension-free hernia repair operations for adult patients under local anesthesia.更多还原