目的 探讨局麻下无张力疝修补术对老年复发性腹股沟疝的疗效.方法 回顾性分析我科2006年至2008年在局麻下行无张力疝修补术的老年复发性腹股沟疝41例患者的临床资料.结果 局部麻醉的效果良好,对患者的生理干扰小.通过腹膜前间隙对肌耻骨孔的增强修补,覆盖了全腹股沟的薄弱区域,有效防止了腹股沟疝的再复发.并且并发症少,随访至今无复发.结论 局麻下行肌耻骨孔的增强修补疗效确切,是老年复发性腹股沟疝切实可行的选择.%Objective To approach the therapeutic effect of tension - free herniorrhaphy under local anesthesia on recurrent hernia in the elderly. Method The clinical data of 48 cases of recurrent hernia in the elderly were analyzed retrospectively, in which the tension - free herniorrhaphy under local anesthesia was applied from 2006 to 2008 in our department. Results Local anesthesia had a satisfactory effect and displayed less disturbance to physiology of the patients. Enhanced restoration of myopectineal orifice through preperitoneal space could cover the weak area of inguinal area and reduce the recurrence of inguinal hernia effectively. Complications were rare and follow - up showed no recurrence up to now. Conclusion Enhanced restoration of myopectineal orifice under local anesthesia has significant efficacy, which would be a feasible selection to recurrent hernias in the elderly.
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