摘要
目的探讨日间手术模式下腹股沟疝手术的临床效果。方法纳入2020年6月1日至2021年5月31日,武汉市中心医院疝与腹壁外科行手术治疗的1512例腹股沟疝患者的临床及随访资料,行日间手术者1052例,常规手术者460例。据治疗方法的不同命名为日间手术组及常规手术组。分析比较2组患者住院时间及住院费用。统计分析2组患者术后常见并发症(包括发热、恶心呕吐、出血、脂肪液化、血清肿、瘀斑、伤口裂开、感染及复发等),术后1周、1个月及3个月疼痛变化情况。结果日间手术组患者在住院时间[TEP手术:(22.62±2.1)h比(28.10±2.3)h;局麻李金斯坦手术:(23.55±1.6)h比(31.76±8.2)h]及住院费用[TEP手术:(13572±381.68)元比(15176±329.81)元;局麻李金斯坦手术:(8974±149.32)元比(9782±134.27)元]方面均显著优于常规手术组(P<0.05)。2组患者术后常见并发症发生率比较,差异无统计学意义(P>0.05)。日间手术组患者较常规手术组术后1周[(1.69±0.46)分比(2.17±0.51)分]、1个月[(1.06±0.38)分比(1.74±0.89)分]、3个月[(0.51±0.37)分比(1.13±0.81)分]疼痛更轻,患者恢复更快(P<0.05)。结论在日间手术模式下开展腹股沟疝手术安全可行,能降低患者住院时间及费用,减轻术后疼痛,促进患者恢复。
Objective To investigate the clinical effect of the inguinal hernia surgery in day surgery mode.Methods The clinical data and postoperative follow-up data of 1512 patients underwent inguinal hernia repair in the Department of Hernia and Abdominal Wall Surgery in the Central Hospital of Wuhan from June 1,2020 to May 31,2021 were included.1052 patients underwent day surgery and 460 patients underwent general surgery.Day surgery group and conventional surgery group were named according to different treatment methods.The length of hospital stay and hospitalization expenses of patients in the two groups were analyzed and compared.The common postoperative complications of the patients in the two groups were statistically analyzed,including fever,nausea and vomiting,bleeding,fatty liquefaction,seroma,ecchymosis,wound dehiscence,infection and recurrence.The postoperative pain changes of patients were analyzed in 1 week,1 month and 3 months.Results Patients in the day surgery group had significantly shorter hospital stays(TEP:22.62±2.1 h vs 28.10±2.3 h;Lichtenstein under local anesthesia:23.55±1.6 h vs 31.76±8.2 h)and lower hospitalization costs(TEP:13572±381.68 yuan vs 15176±329.81 yuan;Lichtenstein under local anesthesia:8974±149.32 yuan vs 9782±134.27 yuan)compared to the conventional surgery group(P<0.05).There was no significant difference in the occurrence of common postoperative complications between the two groups(P>0.05).Compared with the conventional surgery group,patients in the day surgery group had a lower probability of postoperative pain and recovered more quickly in 1 week(1.69±0.46 vs 2.17±0.51),1month(1.06±0.38 vs 1.74±0.89)and 3months(0.51±0.37 vs 1.13±0.81)(P<0.05).Conclusion It is safe and feasible to carry out inguinal hernia surgery in day surgery,that could reduce the patient's hospital stay and costs,significantly alleviate postoperative pain,promote better and faster recovery of patients.
作者
杜晨阳
王勇
段鑫
柯文杰
石念
武英翔
罗文
Chenyang Du;Yong Wang;Xin Duan;Wenjie Ke;Nian Shi;Yingxiang Wu;Wen Luo(Department of Hernia and Abnominal Wall Surgery,the Central Hospital of Wuhan,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430014,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2024年第2期214-217,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
湖北省卫生健康委联合基金立项项目青年重点项目(WJ2019H382)。
关键词
日间手术
疝
腹股沟
腹腔镜
微创
疼痛
Day surgery
Hernia
inguinal
Laparoscopy
Minimally invasiveness
Pain
