局麻下行李金斯坦疝修补术治疗老年腹股沟疝患者的临床疗效观察

目的总结局麻下行李金斯坦疝修补术治疗老年腹股沟疝患者的临床疗效和评价。 方法回顾性分析2012年6月至2014年12月，解放军兰州总医院普通外科收治的78例老年腹股沟疝患者临床资料，患者均采用局麻下使用自固定补片行李金斯坦疝修补术，总结分析患者术中情况、术后并发症及复发率。 结果本组78例患者全部顺利完成手术，手术时间31～70 min，平均（42±4）min，住院天数3～10 d，平均（5±2）d，术中出血量3～25 ml，平均（9±4）ml。患者术后出现阴囊血肿1例，慢性疼痛3例，切口积液1例，腹股沟区麻木感2例，无尿潴留、肠梗阻及睾丸萎缩并发症。术后随访6～36个月，无复发。 结论局麻下使用自固定补片行李金斯坦疝修补术治疗老年腹股沟疝安全可行，临床疗效较好。

Clinical effect of Lichtenstein hernia repair under local anesthesia for the treatment of elderly patients with inguinal hernia

ObjectiveTo explore the clinical efficacy and evaluation of the Lichtenstein repair under local anesthesia for the treatment of inguinal hernia in elderly patients. MethodsA total of 78 elderly patients with inguinal hernia were enrolled from June 2012 to December 2014 in Lanzhou General Hospital of PLA. All the patients had undergone Lichtenstein repair with self-gripping mesh under local anesthesia. In this study, we wanted to summarize and analyze intraoperative condition, postoperative complications and recurrence rate. ResultsThe operations of all the 78 patients were accomplished smoothly. The operation time was 31 to 70 minutes, with a mean of (42±4) minutes. The hospital stay was 3 to 10 days, with a mean of (5±2) days. The blood loss was 3 to 25 ml, with a mean of (9±4) ml. There was 1 case of postoperative scrotal edema, 3 cases of chronic pain, and 1 case of wound effusion. The injury numbness appeared in 2 cases. No urinary retention, intestinal obstruction and testicular atrophy occurred. All patients were followed up for 6 to 36 months. ConclusionThe Lichtenstein repair with self-gripping mesh under local anesthesia is safe and effective, and it is worthy of clinical promotion.