目的

总结我院开展局麻下个体化无张力疝修补手术的经验,探讨进一步提高腹股沟疝治疗总体疗效和减轻病人痛苦的方法。

方法

采用对照研究的方法对我院2004年8月至2006年12月间进行的无张力疝修补手术共360例,其中183例为局部麻醉下进行的个体化无张力疝修补术进行临床研究。观察内容包括手术时间、住院时间、并发症、费用、疼痛评分、复发情况、病人恢复时间等指标。

结果

局麻下个体化无张力疝修补手术在缩短住院时间、降低病人费用、减少并发症以及术后复发率方面具有优势,在手术时间、疼痛评分方面和同期进行的硬膜外麻醉下疝环充填式疝修补手术没有明显区别。

结论

局麻下个体化腹股沟疝修补手术简单易行,疗效可靠,是值得推广的腹股沟疝修补手术方式。

Objectives

to sum the experience of our hospital during carrying on the personalized tension-free inguinal hernia repair under local anaesthesia.

Methods

using comparing methods to analysis the 360 cases of inguinal hernia that we devided into two groups.Among these patients 183 case were carrying on the personalized tension-free inguinal hernia repair under local anaesthesia.The operation time,hospital stay,complication,cost,post operation pain,recurrence,and the time to active of the patients were observed in this study.

Results

There are no obvious difference of the two groups in operation time and pain feeling.But there are obvious difference of the two groups in the remain parameters.

Conclusions

The personalized tension-free inguinal hernia repair under local anaesthesia is easy to perform and effective,we recommend this operation for tension-free inguinal hernia repair.