中国医学创新Issue(18)：57-59,60,4.DOI:10.3969/j.issn.1674-4985.2014.18.019
局麻、硬膜外麻开放式无张力疝修补术与腹腔镜全腹膜外疝修补术的疗效对比研究
Comparative Study of the Effect of Local Anesthesia,Epidural Tension-free Hernia Repair and Laparoscopic Total Extraperitoneal Hernia Repai r
摘要
Abstract
To study the contrast effect of local anesthesia,epidural anesthesia for open tension-free hernia repair and laparoscopic total extraperitoneal hernia repair(TEP)in the treatment of adult inguinal hernia. Method:The clinical data of 87 patients with adult inguinal hernia in our hospital from August 2009 to March 2014 were retrospectively analyzed,selected different surgery according to the patient’s economic conditions and disease,23 patients with hernia repair under local anesthesia were selected as local anesthesia group,36 patients with tension-free hernia repair under epidural anesthesia were selected as epidural anesthesia group,28 patients with laparoscopic total extraperitoneal hernia repair were selected as the laparoscopic group.The operation time,postoperative ambulation time, hospitalization time,postoperative pain,hospitalization expenses,postoperative complications and recurrence rate of the three groups were observed and compared.Result:Three groups of patients with operation were successful.The operation time of epidural anesthesia group was the shortest,the laparoscopic group was the longest(P<0.05).The postoperative ambulation time of local anesthesia group was the shortest,epidural anesthesia group was the longest(P<0.05).The hospitalization time of the laparoscopic group was the shortest,local anesthesia group was the longest(P<0.05).The postoperative pain of the laparoscopic group was the shortest,local anesthesia group was the longest(P<0.05).The hospitalization expenses of the laparoscopic group was the highest,local anesthesia group was the lowest(P<0.05).The postoperative complication rate of three groups had no significant differences(P>0.05);the three groups had no relapse in the near future.Conclusion:Three procedures have the best indication,advantages and disadvantages,should be individualized selection of hernia repair,laparoscopic inguinal hernia repair has a good development prospect.关键词
腹股沟疝/疝修补/术式/对比Key words
Inguinal hernia/Hernia repair/Operation/Contrast引用本文复制引用
李群华,金万亮,邓孙林,刘凯,盘毅辉,郭建业..局麻、硬膜外麻开放式无张力疝修补术与腹腔镜全腹膜外疝修补术的疗效对比研究[J].中国医学创新,2014,(18):57-59,60,4.基金项目
东莞市科技局立项课题 （）
