腹股沟疝日间手术模式及疗效分析
An evaluation on day surgery in inguinal herniorraphy
杨林华 1倪其泓 1张贇和 1王坚1
作者信息
- 1. 200127 上海交通大学医学院附属仁济医院胆胰外科
- 折叠
摘要
目的 探讨腹股沟疝日间手术模式及疗效.方法 回顾性分析仁济医院普外科2009年1月至2013年12月3 852例经手术治疗腹股沟疝患者的临床资料及随访结果,其中急诊手术患者予以剔除.结果 所有患者术后均进行门诊与电话随访,随访率98.6％,随访12 ～60个月,平均随访时间32.6个月.日间病例组1 575例,平均手术时间(43.84±12.35) min,平均下床活动时间(1.12±0.91)d,平均恢复工作时间(5.78±1.12)d,平均住院天数(1.34±0.48)d,平均住院费用(7 546.49±2 962.57)元.择期组511例,平均手术时间(48.59±14.52) min,平均下床活动时间(2.43±1.38)d,平均恢复工作时间(7.46±2.62)d,平均住院天数(4.80±2.91)d,平均住院费用(9 165.16±4 281.83)元.两组在手术时间(P=0.000)、平均下床活动时间(P =0.000)、平均住院天数(P=0.000)、平均住院费用(P=0.000)和平均恢复工作时间(P =0.000)上差异有统计学意义,日间组均优于择期组.择期组术后感染率及再人院率高于日间组(P =0.000).两组在复发率及慢性疼痛方面差异均无统计学意义.结论 腹股沟疝行日间手术是安全可行的,并且能显著缩短住院天数,降低住院费用.
Abstract
Objective To analyze the safety and effectiveness of ambulatory surgery in inguinal herniorraphy.Methods The clinical data of 3 852 cases of inguinal hernia repair patients admitted from January 2009 to December 2013 in this single center was analyzed retrospectively.Cases of emergency surgery were excluded.Results All patients had long-term follow-up (12-60 months).1 575 patients underwent day-surgery,mean operation time was (43.84 ± 12.35) min,mean time of ambulation was (1.12 ± 0.91) d,mean time of recovery was (5.78 ± 1.12) d,mean hospitalization was (1.34 ± 0.48) d,mean hospitalization cost was (7 546.49 ±2 962.57) RMB.In contrast,there were 511 patients underwent a non day-surgery,mean operation time was (48.59 ± 14.52) min,mean time of ambulation was (2.43 ± 1.38) d,mean time of recovery was (7.46 ± 2.62) d,mean hospitalization was (4.8 ± 2.91) d,mean hospitalization cost was (9 165.16 ± 4 281.83) RMB.Patients with day-surgery were significantly superior to those with non day-surgery in operation time (P =0.000),mean time of ambulation (P =0.000),mean hospitalization (9 =0.000),mean hospitalization cost (P =0.000) and mean time of recovery (P =0.000).Infection and readmission in non day-surgery patients was higher than that in day-surgery (P =0.000).There was no difference in postoperation pain and hernia recurrence.Conclusions Ambulatory surgery in inguinal herniorraphy is safe with similar recurrence rate;but significantly lower cost and shorter hospitalization.
关键词
疝,腹股沟/外科手术/日间手术Key words
Hernia,inguinal/Surgical procedures,operative/Day surgery引用本文复制引用
出版年
2016
NETL
NSTL
维普
万方数据