基于单中心的不同手术组人员成人腹股沟疝修补术现状调查

doi:10.3969/j.issn.1005-6483.2020.06.023

摘要/Abstract

摘要： 目的:调查西部某三甲医院成人腹股沟疝修补术的手术开展情况，了解该院不同病区手术组间成人腹股沟疝的治疗现状。方法:对该院2017年11月～2018年4月间不同病区手术组开展的成人腹股沟疝手术病例进行回顾性调查。根据医院设置，手术组分为病区A、B两组，将A、B组间的手术方式、麻醉方式、手术时间、住院时间以及术后并发症进行比较，分析各两组间差异。结果:A、B组间腔镜疝手术百分比分别为68%、62%，差异无统计学意义（P>0.05）；A、B组间开放手术中采用局麻方式比例分别为47%、15%，差异有统计学意义（P<0.05）；A组腔镜疝（单侧）修补术手术时间为（151.46±34.71）分钟，B组为（97.56±25.90）分钟，两组间比较差异有统计学意义（P<0.05）；A组开放疝（单侧）修补术手术时间为（90.40±19.05）分钟、B组为（95.64±25.34）分钟，两组间比较，差异无统计学意义（P>0.05）。所有调查对象中，腔镜疝修补术平均住院时间为（4.90±2.17）天；开放疝修补术平均住院时间（5.81±3.29）天，两组间比较，差异无统计学意义（P>0.05）；A、B组间手术并发症发生率均为0（P>0.05）。结论:该院腔镜疝修补术是大多数手术组手术方式的主要选择，不同组间的手术相关指标存在一定差异，间接反映出西部地区目前成人腹股沟疝治疗的实际情况。

关键词: 成人；腹股沟疝修补术；现状 ,

Abstract: Objective:To investigate the operation development of adult inguinal hernia repair in a thirdclass hospital in west China and to understand the current treatment situation of adult inguinal hernia in different wards operation groups in this hospital.Methods:Retrospective investigation was made on adult inguinal hernia surgery cases carried out by two surgical groups in this hospital from November 2017 to April 2018.According to the hospital settings，the operation groups are divided into two areas A and B，the operation methods，anesthesia methods，operation time，hospitalization time and postoperative complications in different operation groups are compared，and the differences between different groups are analyzed.Results:The percentage of endoscopic hernia surgery in groups A and B was 68% and 62%，respectively，with no significant difference（P>0.05）.The percentage of local anesthesia used in open operation in wards A and B was 47% and 15%，respectively（P<0.05）.The operation time of endoscopic hernia repair（Unilateral）in group A was（151.46±34.71）min，in group B was（97.56±25.90）min（P<0.05）.The operation time of open hernioplasty（Unilateral） in group A was（90.40±19.05）min，in group B was（95.64±25.34）min，there was no significant difference between the two groups（P>0.05）.Among all the investigated subjects，the average hospitalization time of patients with endoscopic hernia repair was（4.90±2.17）days.The average hospitalization time of patients with open herniorrhaphy was（5.81±3.29）days，and there was no significant difference between the two groups（P>0.05）.The incidence of surgical complications between groups A and B was 0（P>0.05）.〖WTHZ〗Conclusion:In this hospital，endoscopic herniorrhaphy is the main choice of surgical methods in most surgical groups，and there are some differences in surgical related indicators between different groups，which indirectly reflects the actual situation of adult inguinal hernia treatment in western region at present，and provides a sample reference for the quality control system of hernia treatment in China.

Key words: adult, inguinal hernia repair, present situation

姚建锋, 田利飞, 张晓龙等. 基于单中心的不同手术组人员成人腹股沟疝修补术现状调查[J]. 临床外科杂志, 2020, 28(6): 572-574.

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