中国实用外科杂志

中国实用外科杂志

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“腹股沟疝24 h出入院”治疗模式临床应用

胡世雄，黄    侃，王三明，彭    林   

  1. 广东省人民医院 广东省医学科学院血管甲状腺腹壁疝外科，广东广州510080
  • 发布日期:2012-09-28

  • Published:2012-09-28

摘要：

目的    总结“24 h出入院”治疗模式在腹股沟疝临床治疗中应用的经验和体会。方法    对广东省人民医院2008年6月至2010年12月收治的1582例接受“腹股沟疝24h出入院”诊疗病人的临床资料进行回顾性分析。结果    1551例（98.1%）在24 h内顺利出院，31例（1.9%）因出现术后不适而延迟出院时间：18 例（1.1%）因疼痛影响活动，予小剂量镇痛药可有效控制，2~4周后症状消失；13例（0.8%）出现阴囊血清肿，其中7例经保守治疗后自行缓解，4例因阴囊肿胀明显返院行针刺抽液，2例行手术置管引流后症状缓解。结论    “腹股沟疝24 h出入院”模式简单易行,疗效可靠,是值得推广的腹股沟疝修补治疗方式。

关键词: 腹股沟疝, 日间手术, 无张力修补, 局部麻醉

Abstract:

Application of “discharging in 24-hours” model in herniorraphy of inguinal hernia: a report of 1582 cases                   HU Shi-xiong, HUANG Kan, WANG San-ming, et al. Department of General Surgery for Vascular Disease, Thyroid Gland and Hernia, Guangdong General Hospital, Guangdong Academy of Medical Sciences，Guangzhou 510080,China
Corresponding author: PENG Lin, E-mail: pengl@21cn.com
Abstract    Objective    To summarize the experiences of “discharging in 24-hours” clinic model in the therapy of inguinal hernia. Methods    The clinical data of 1582 cases of inguinal hernia performed treatment with “discharging in 24-hours”model from June 2008 to December 2010 in Guangdong General Hospital were analyzed retrospectively. Results    Among all cases, 1551 cases（98.1%）were discharged in 24 hours, and 31 cases（1.9%）were postponed due to postoperative discomfort: 18 cases（1.1%）suffered from pain could be controlled by small dose of analgesic and then the pain disappeared in 2-4 weeks; 13 cases（0.8%）developed seroma of scrotum including 4 cases of seroma cured via punctured owing to severe scrotum swelling, 2 cases underwent operation to drainage and 7 cases of spontaneous remission after conservative therapy. Conclusion    The “discharging in 24-hours” model in herniorraphy of inguinal hernia is a simple, efficacious and safe approach, which deserves to be popularized.

Key words: inguinal hernia, day surgery, tension-free hernia repair, local anesthesia