腹腔镜腹股沟疝修补术安全性和有效性评估研究  

Assessment of safety and effectiveness of laparoscopic inguinal hernia repair

作　　者：俞能年[1] 陈洁[1] 姚琪远[2] 唐智柳[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]复旦大学附属华山医院

出　　处：《中华医院管理杂志》2007年第7期454-457,共4页Chinese Journal of Hospital Administration

摘　　要：目的介绍卫生技术评估中有关医疗技术安全性和有效性的评估方法，以提高医疗质量和管理水平。方法通过比较腹腔镜腹股沟疝修补术与无张力疝修补术和传统疝修补术的相关指标，评估腹腔镜腹股沟疝修补术的安全性和有效性。结果腹腔镜手术组的并发症和复发发生率低于传统手术组，腹腔镜手术病人恢复正常活动的时间短于传统手术病人和无张力手术病人（P〈0．001）。结论进行医疗技术的安全性和有效性评估，对科学严谨地运用医疗技术、提供安全有效的医疗服务，具有重要意义。Objective To introduce the method for assessment of safety and effectiveness of medical technique, thus to improve the medical quality and management level. Methods The safety and effectiveness of laparoscopic inguinal hernia repair were assessed through the comparison of related indexes between laparoscopic inguinal hernia repair and tension-free repair as well as traditional repair of inguinal hernia. Results The incidence rates of complication and recurrence in patients with laparoscopic surgery were lower than those with traditional surgery. The time of recovery in patients with laparoscopic surgery was shorter than those with traditional and tension-free surgeries （P〈0. 001）. Conclusion Assessment of safety and effectiveness of medical technique is of great significance to provide safe and effective medical service by scientific use of medical technology.

关 键 词：腹腔镜 疝修补术 安全性 有效性 评估 

分 类 号：R656[医药卫生—外科学]