局麻下腹股沟疝无张力修补术58例分析

Analysis of the Curative Effect of Non-Tension Neoplasty on Inguinal Hern of 58 Cases

摘要: 目的：探讨农村基层医院在局麻下施行无张力疝修补术治疗腹股沟疝的可行性和安全性。方法：回顾性分析2012年9月至2015年12月间，在我院局麻下所施行的58例无张力疝修补术。结果：手术全部成功，平均手术时间45 min，10~30 min即可下床活动。术后阴囊积液1例，术后1~2 d出院，随访7~36个月无复发病例。结论：在局麻下施行腹股沟疝无张力修补术具有术后疼痛轻、恢复快、复发率低等优点，适合在农村基层医院广泛开展。

Abstract: Objective: To investigate the feasibility and safety of the implementation of non-tension neoplasty for inguinal hernia under local anesthesia in rural primary hospital. Methods: A retrospective study was finished, which was about the results of non-tension neoplasty for inguinal hernia under local anesthesia of 58 cases in a rural primary hospital from September, 2012 to December, 2015. Results: All the operations of 58 cases were finished successfully. The average operation time was 45 min. They could get out of bed after operation from 10 to 30 min. One case with scrotum effusion after operation was recorded. They were discharged after surgery from 1 to 2 days. They were discharged after surgery from 1 to 2 days without recurrence and a follow-up from 7 to 36 months. Conclusion: Implementation of inguinal hernia non-tension neoplasty under local anesthesia has the advantages of less postoperative pain, quicker recovery, low recurrence rate, etc. It is suitable for cases with inguinal hernia in the rural primary hospitals.