腹股沟疝无张力修补术的麻醉选择

目的评价各种麻醉在疝修补术中的应用。方法回顾性分析2000年1月至2004年12月施行的778例疝修补手术资料。结果局部浸润麻醉340例,持续硬膜外麻醉417例,全麻21例。术后平均住院时间,局部浸润麻醉为(5.58±2.57)d,持续硬膜外麻醉为(6.20±2.13)d,全麻为(6.67±2.50)d。术后尿潴留发生率,局麻为0.6%(2/340),持续硬膜外麻醉为18.2%(76/417),全麻为28.6%(6/21)。89.5%的患者随访1年,18例全麻无复发,持续性硬膜外麻醉和局部浸润麻醉患者复发率分别为0.28%(1/362)和0.32%(1/316)。结论腹股沟疝无张力修补术中,局部浸润麻醉具有良好的麻醉效果和更少的并发症。

The choice of anesthesia for inguinal tension-free hernioplasty

Objective To evaluate the role of anesthetic methods during inguinal tension-free hernioplasty.Methods The data of 778 consecutive patients with inguinal hernia were retrospectively analyzed between January 2000 and December 2004.Results Among 778 patients subject to inguinal tension-free hernioplasty,727 were males,and 51 females.340 patients were subjected to local infiltration anesthesia,417 patients to epidural anesthesia,and 21 patients to general anesthesia.The incidence of urinary retention for use of local infiltration anesthesia,epidural anesthesia and general anesthesia was 0.6% (2/340),18.2% (76/417) and 28.6% (6/21) respectively.Conclusion Local infiltration anesthesia is the standard anesthesia for inguinal tension-free hernioplasty because of favorable anesthesia effect and lower morbidity.