[1]李武军,陈 莉,贡桑名久.局部股神经阻滞下大隐静脉曲张外科治疗[J].医学信息,2018,(17):183-184.[doi:10.3969/j.issn.1006-1959.2018.17.059]
 LI Wu-jun,CHEN Li,GONGSANG Ming-jiu.Surgical Treatment of Saphenous Vein Varicose under Local Femoral Nerve Block[J].Medical Information,2018,(17):183-184.[doi:10.3969/j.issn.1006-1959.2018.17.059]
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局部股神经阻滞下大隐静脉曲张外科治疗()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2018年17期
页码:
183-184
栏目:
经验交流
出版日期:
2018-09-01

文章信息/Info

Title:
Surgical Treatment of Saphenous Vein Varicose under Local Femoral Nerve Block
文章编号:
1006-1959(2018)17-183-02
作者:
李武军13陈 莉2贡桑名久3
1.西安医学院第一附属医院普外科,陕西 西安 710077; 2.陕西省中医医院,陕西 西安 710003;3.阿里地区人民医院,西藏 阿里 859000
Author(s):
LI Wu-jun13CHEN Li2GONGSANG Ming-jiu3
1.Department of General Surgery,the First Affiliated Hospital of Xi'an Medical College,Xi'an 710077,Shaanxi,China; 2.Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,Shaanxi,China; 3.Ali People's Hospital,Ali 859000,Tibet,China
关键词:
神经阻滞股神经大隐静脉曲张
Keywords:
Key words:Nerve blockFemoral nerveSaphenous vein varicose
分类号:
R614.4
DOI:
10.3969/j.issn.1006-1959.2018.17.059
文献标志码:
B
摘要:
目的 分析海拔4300米高原低氧条件下,局部股神经阻滞麻醉下大隐静脉曲张高位结扎、主干剥脱手术的麻醉效果。方法 选择西藏阿里地区人民医院2016年1月~2017年12月收治的成人大隐静脉曲张患者62例,腹股沟区注射罗哌卡因局部麻醉并阻滞股神经,腹股沟及内踝处分别结扎大隐静脉并剥脱主干,观察手术时间及治疗效果。结果 所有患者手术顺利,治疗效果满意,平均手术时间(45.01±13.12)min,术后即可饮食,术后第1天下床活动,未发生伤口红肿、渗出及深静脉血栓等并发症,平均术后(3.20±0.51)d出院,均治愈。结论 罗哌卡因局部股神经阻滞麻醉下大隐静脉曲张高位结扎加主干剥脱治疗静脉曲张,麻醉及手术操作简单、安全性高、创伤小、恢复快,效果确切等,值得应用。
Abstract:
Abstract:Objective To analyze the anesthetic effect of high saphenous vein variceal ligation and main exfoliation under local anesthesia with local femoral nerve block under altitude of 4300 meters.Methods 62 adult patients with saphenous varices were enrolled from January 2016 to December 2017 in the Ali District People's Hospital of Tibet.Local anesthesia with ropivacaine was injected into the inguinal region and the femoral nerve was blocked.The inguinal and medial malleolus were ligated.The vein was exfoliated and the main operation was observed to observe the operation time and treatment effect.Results All patients underwent successful operation and satisfactory treatment.The average operation time was(45.01±13.12)min.After the operation,the patient was able to get out of bed on the first day after operation.No complications such as redness,exudation and deep vein thrombosis occurred.The average postoperative(3.20±0.51)d was discharged and all were cured.Conclusion Ropivacaine with local femoral nerve block anesthesia with high saphenous vein variceal ligation and main exfoliation for varicose veins,anesthesia and surgical operation is simple,safe,low trauma,quick recovery,exact effect,etc.,worthy of application.

参考文献/References:

[1]Kristensen PK,Pfeiffer-Jensen M,Storm JO,et al.Local infiltration analgesia is comparable to femoral nerve block after anterior cruciate ligament reconstruction with hamstring tendon graft:arandomised controlled trial[J].Knee Surg Sports Traumatol Arthrosc,2014,22(2):317-323. [2]王明,黄慧敏,王利萍,等.股神经阻滞麻醉中股神经定位的超声影像学和解剖学观察[J].中华解剖与临床杂志,2016,21(2):159-161. [3]ShinguY,ShiiyaN,OokaT,et al.Augmentation index is elevated in aortic aneurysm and dissection[J].Ann Thorac Surg,2014,87(5):1373-1377. [4]Lteif AA,Han K,Mather KJ.Obesity,insulin resistance,and the metabolic syndrome:determinants of endothelial dysfunction in whites and blacks[J].Circulation,2013,112(1):32-38. [5]Mariano ER,Kim TE,Funck N,et al.A randomized comparison of long-and short-axis imaging for in-plane ultrasound-guided femoral perineural catheter insertion[J].J Ultrasound Med,2013,32(1):149-156. [6]汪涛,何开华.全膝关节置换后连续股神经阻滞镇痛:超声引导下的进针技术与穿刺针选择[J].中国组织工程研究,2015,19(13):2005-2010.

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更新日期/Last Update: 2018-09-01