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老年患者;局部麻醉;无张力疝修补术,,],老年患者;局部麻醉;无张力疝修补术,1资料与方法,2结果,3讨论,[参考文献]
     [摘要] 目的 总结65岁以上老年患者局部麻醉下施行无张力疝修补术治疗腹股沟疝的临床经验。 方法 对161例老年腹股沟疝患者临床资料进行回顾性分析。结果 麻醉效果满意,手术时间20~50 min,术后24 h内可以下床活动,平均住院时间7.6天,术后约4%患者出现尿潴留等并发症。随访1个月~2年未见复发病例。结论 局部麻醉下施行无张力疝修补术具有操作简单、患者痛苦小、恢复快、手术并发症明显降低及住院时间缩短等优点,提高了手术安全性,拓宽了手术适应证,适合老年患者。

    [关键词] 老年患者;局部麻醉;无张力疝修补术

    Clinical experience of tension-free inguinal hernia neoplasty of aged patients under local anaethesia

    ZHOU Li-qun.The Second Hospital,Tianjin University,Tianjin 300211,China

    [Abstract] Objective To summarize the clinical experience of tension-free inguinal hernia neoplasty of aged patients(>65岁)under local anaethesia.Methods The clinical data of one hundred and sixty-one inguinal hernia neoplasty of aged patients were reviewed.Results Most of the patients tolerated well to local anaesthesia.The mean operation time was 20~50 minutes.The patients restored the out-of-bed activity within 24 hours.The mean hospitalized duration was 7.6 days.The postoperative complication rate ......