首 页   本刊简介  编委会  审稿专家  在线期刊  写作规范  广告合作  联系我们
您现在的位置:首页 => 在线期刊 => 6期丙型肝炎 => 肝纤维化及肝硬化 =>局麻下无张力疝修补术在肝硬化并发腹股沟疝..
局麻下无张力疝修补术在肝硬化并发腹股沟疝患者中的应用
Application of tension-free hernia repair under local anesthesia in patients with liver cirrhosis complicated by inguinal hernia
文章发布日期:2017年05月04日  来源:  作者:孙力波,张海涛,赵晓飞,等  点击次数:293次  下载次数:70次

调整字体大小:

(此处下载失败可以在在线预览处保存副本或者右键另存为)

【摘要】:目的探讨局麻下无张力疝修补术治疗腹股沟疝伴肝硬化患者的疗效,总结应用经验。 方法回顾性分析2007年1月-2015年12月在首都医科大学附属北京佑安医院行局麻下无张力疝修补的167例腹股沟疝伴肝硬化病例的临床资料。根据Child-Pugh分级标准,将所有病例分为Child-Pugh A/B级组和C级组,计量资料2组间比较采用t检验;计数资料2组间比较采用χ2 检验及Fisher确切概率法检验。 结果所有局麻下无张力疝修补手术均顺利完成,平均手术时间为(55.22±21.67)min,术后平均住院时间为(3.14±1.86)d,术后有25例(14.97%)患者共计出现47种并发症。2组的平均术后住院时间[(2.72±1.25)d vs (443±311)d]以及术后并发症发生率(8.78% vs 63.10%)比较差异均有统计学意义(t=1.984,χ2=2.861,P值均<0.05)。在C级组中,术前肝功能未改善者的术后并发生症发生率与改善病例差异无统计学意义(100% vs 86.7%,P>0.05),但术后住院时间差异统计学意义(6.85 d vs 3.80 d,P<005)。 结论局麻下无张力疝修补术是一种简便易行、安全有效的治疗肝硬化并发腹股沟疝的方法,围手术期的肝功能评估与维护是保证手术实施和术后顺利恢复的重要条件。
【Abstract】:ObjectiveTo investigate the clinical effect of tension-free hernia repair under local anesthesia in patients with liver cirrhosis complicated by inguinal hernia and related application experience. MethodsA retrospective analysis was performed for the clinical data of 167 patients with liver cirrhosis complicated by inguinal hernia who underwent tension-free hernia repair under local anesthesia in our hospital from January 2007 to December 2015. The t-test was used for comparison of continuous data between two groups, and the chi-square test and Fisher’s exact test were used for comparison of categorical data between groups. ResultsAll tension-free hernia repair surgeries were successfully completed, with a mean time of operation of (55.22±21.67) min and a mean postoperative hospital stay of (3.14±186) d. Of all patients, 25 (14.97%) experienced complications, and there were 47 complications in total. According to the Child-Pugh class, the patients were divided into Child-Pugh class A/B group and Child-Pugh class C group, and there were significant differences in the mean postoperative hospital stay ((2.72±1.25) d vs (4.43±3.11) d, t=1.984, P<0.05) and incidence rate of postoperative complications (8.78% vs 63.1%, χ2=2.861, P<0.05). In the Child-Pugh class C group, there was no significant difference in the incidence rate of postoperative complications between the patients without improvement in liver function and those with improvement (100% vs 86.7%, P>0.05), but there was a significant difference in the length of postoperative hospital stay (6.85 d vs 3.80 d, P<005). ConclusionTension-free hernia repair under local anesthesia is a simple, safe, and effective method for the treatment of inguinal hernia complicated by liver cirrhosis. Perioperative liver function evaluation and maintenance is important to ensure the implementation of surgery and good postoperative recovery.
【关键字】:疝, 腹股沟; 肝硬化; 无张力疝修补
【Key words】:hernia, inguinal; liver cirrhosis; tension-free repair
【引证本文】:孙力波, 张海涛, 赵晓飞, 等. 局麻下无张力疝修补术在肝硬化并发腹股沟疝患者中的应用[J]. 临床肝胆病杂志, 2017, 33(6): 1116-1119.

地址:长春市东民主大街519号《临床肝胆病杂志》编辑部 邮编:130061 电话:0431-88782542/3542
临床肝胆病杂志 版权所有 Copyright © 2009 - 2013 Lcgdbzz.org. All Rights Reserv 吉ICP备10000617号

吉公网安备 22010402000041号