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局部神经阻滞麻醉在腹股沟无张力疝修补术中的应用
引用本文:陈杰,那冬鸣,申英末,李杰,易秉强,樊华.局部神经阻滞麻醉在腹股沟无张力疝修补术中的应用[J].中华普通外科杂志,2005,20(2):107-108.
作者姓名:陈杰  那冬鸣  申英末  李杰  易秉强  樊华
作者单位:100020,首都医科大学附属北京朝阳医院疝和腹壁疾病治疗中心
摘    要:目的 寻找更合理的腹股沟无张力疝修补术的麻醉方法。方法 2001 年 5 月至 2003年5月,采用人工合成材料行腹股沟无张力疝修补手术618例,随机分两组,335例采用局部神经阻滞麻醉(局麻组),283例采用联合麻醉(对照组),分析两组的临床资料。结果 局麻组手术时间平均35 min。住院平均2 5 d,平均花费4326元。无切口感染,无尿潴留,6例阴囊积液。联合麻醉组手术时间(加麻醉时间)平均90 min。平均住院8 d,平均住院费6775元。无切口感染,32例术后尿潴留,15例阴囊积液。随访12~36个月,平均24个月,两组均无复发。结论 局部神经阻滞麻醉下的腹股沟无张力疝修补术是一种安全、可靠、简便、经济的方式。

关 键 词:  腹股沟  外科手术  外科器械  麻醉  局部
修稿时间:2004年5月27日

Local nerve blockade anaesthesia for tension-free inguinal hernia repair
CHEN Jie,NA Dong-ming,SHEN Ying-mo,LI Jie,YI Bing-qiang,FAN Hua.Local nerve blockade anaesthesia for tension-free inguinal hernia repair[J].Chinese Journal of General Surgery,2005,20(2):107-108.
Authors:CHEN Jie  NA Dong-ming  SHEN Ying-mo  LI Jie  YI Bing-qiang  FAN Hua
Abstract:Objective To evaluate local anaesthesia for tension free herniorrhaphy Methods Six hundred and eighteen patients undergoing inguinal hernia repair were randomly divided into 2 groups receiving local nerve blockade anaesthesia (335 cases) or combined anaesthesia (283 cases) Results In local anaesthesia group, the average operative time was 35 min,the average hospital stay was 2 5 days, the average cost was 4326 yuan (RMB), postoperative complication rate was 1 8% (6/335), and an average 24 months follow up found no recurrence In combined anaesthesia group, the average operative time was 90 min, the average stay in hospital was 8 days, the average cost was 6775 yuan (RMB), the complication rate was 16 61% (47/283), and no recurrence during a follow up of 24 months Conclusion The tension free groin hernia repair under local nerve blockade anaesthesia is a safe and economical method
Keywords:Hernia  inguinal  Surgical procedures  operative  Surgical instruments  Anesthesia  local
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