發(fā)布時(shí)間：2018-06-22 21:26

  本文選題：局部麻醉 + 腹股溝疝�。� 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：回顧性分析2011年01月-2013年05月在我院行局麻下腹膜前間隙式腹股溝疝修補(bǔ)術(shù)與疝環(huán)填充式腹股溝疝修補(bǔ)術(shù)患者的臨床資料,探討兩種術(shù)式在腹股溝疝治療中的臨床療效。方法：回顧性研究2011年01月-2013年05月我院局部麻醉下應(yīng)用巴德疝修補(bǔ)補(bǔ)片Modified Kugel和美夕卜REF TECRT8傘形補(bǔ)片作為疝修補(bǔ)材料行腹股溝疝修補(bǔ)術(shù)99例患者,由手術(shù)方式分為腹膜前間隙式組與疝環(huán)填充式組。分析兩組患者平均手術(shù)時(shí)間、術(shù)后平均住院日、術(shù)后并發(fā)癥情況、術(shù)后復(fù)發(fā)率臨床資料。結(jié)果：腹膜前間隙組與疝環(huán)填充組,手術(shù)時(shí)間分別為41.4±5.48min和39.6±3.56min;術(shù)后平均住院時(shí)間分別為46.2±L6.66h和48.1±4.14h；兩組術(shù)后疼痛較輕,均未用止痛藥；兩組均于術(shù)后6-12h內(nèi)下床活動(dòng)；其中腹膜前間隙組陰囊積液為1例,術(shù)后隨訪5--24個(gè)月無術(shù)后復(fù)發(fā),術(shù)后慢性疼痛1例,術(shù)后異物感2例；疝環(huán)填充組陰囊積液1例,術(shù)后隨訪5--24個(gè)月術(shù)后復(fù)發(fā)1例,無術(shù)后慢性疼痛患者,術(shù)后異物感8例。結(jié)論：局部麻醉下行腹膜前間隙修補(bǔ)術(shù)就術(shù)后異物感而言優(yōu)于疝環(huán)填充式修補(bǔ)術(shù),較疝環(huán)填充具有更廣的適應(yīng)癥,但是游離腹膜前間隙時(shí)有損傷腹壁下血管、股血管、死亡冠的風(fēng)險(xiǎn),故臨床操作中應(yīng)根據(jù)術(shù)者手術(shù)能力,患者個(gè)體情況進(jìn)行合理化的選擇。
[Abstract]:Objective: to retrospectively analyze the clinical data of patients with inguinal herniorrhaphy in our hospital from January 2011 to May 2013 under local anesthesia and hernia ring filled inguinal herniorrhaphy, and to explore the clinical effect of the two methods in the treatment of inguinal hernia. Methods: from January 2011 to May 2013, 99 cases of inguinal hernia repair were performed with modified Kugel and Messibirf TECRT8 Umbrella patch under local anesthesia in our hospital. The operation was divided into anterior peritoneal space group and hernia ring filling group. The average operation time, average hospital stay, postoperative complications and clinical data of the two groups were analyzed. Results: the operative time was 41.4 鹵5.48min and 39.6 鹵3.56 minutes in the anterior peritoneal space group and hernia ring filling group, respectively, and the average postoperative hospitalization time was 46.2 鹵L 6.66 h and 48.1 鹵4.14 h, respectively. There were 1 case of scrotal effusion in the preperitoneal space group, 1 case of chronic pain, 2 cases of postoperative foreign body sensation, 1 case of chronic pain, 1 case of scrotal effusion in hernia ring filling group, and 1 case of postoperative recurrence after 5 to 24 months follow-up. No postoperative chronic pain, postoperative foreign body sensation in 8 cases. Conclusion: the preperitoneal space repair under local anesthesia is superior to the hernia ring filling repair in terms of foreign body sensation, and has a wider indication than the hernia ring filling. However, there is damage to the inferior abdominal wall and femoral vessels in the free anterior peritoneal space. The risk of death crown should be selected according to the operative ability and individual condition.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R656.2

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