目的 探讨局部浸润麻醉联合腹膜前的改良Kugel疝修补术在老年女性腹股沟疝患者中临床应用的效果。方法 回顾性分析2017年9月—2020年9月收治的年龄>60岁的老年女性患者的临床资料,将采用局麻+Modified Kugel修补的患者作为研究对象。观察患者术后疼痛情况、恢复正常活动时间、术后并发症及随访中有无复发等情况。结果 收集符合标准患者19例,年龄60~81岁,平均（64.5±3.3）岁。1例患者出现术后切口浅表感染,1例出现阴唇水肿,总体术后疼痛反应较轻,满意度良好。平均随访（13.0±3.0）个月,未见疝复发,无慢性疼痛患者出现。结论 局部浸润麻醉联合腹膜前的改良Kugel疝修补术是高龄、不能耐受全麻手术的女性腹股沟疝患者的理想手术方式。
Objective To investigate the clinical effect of local infiltration anesthesia combined with preperitoneal modified Kugel hernia repair on inguinal hernia in elderly female patients. Methods The clinical data of elderly female patients over 60 years old admitted to our hospital from September 2017 to September 2020 were retrospectively analyzed, and patients receiving local anesthesia +modified Kugel repair were selected as study subjects. Postoperative pain, recovery time of non-restricted activity, recurrence of hernia, and complications during follow-up were observed. Results Nineteen patients who met the criteria were followed up, ranging in age from 60 to 81 years old, with an average age of （64.5±3.3） years. Superficial infection of postoperative incision occurred in 1 patient and labia edema occurred in 1 patient. Overall, postoperative pain response was mild and satisfaction was good. The average follow-up time was （13.0±3.0） months. No hernia recurrence was observed, and no chronic pain was found. Conclusion Local infiltration anesthesia combined with preperitoneal modified Kugel hernia repair is an ideal surgical procedure for elderly female inguinal hernia patients who cannot tolerate general anesthesia.
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