“腹股沟疝24h出入院”治疗模式临床应用  

Application of“discharging in 24-hours”model in herniorraphy of inguinal hernia: a report of 1582 cases

作　　者：胡世雄[1] 黄侃[1] 王三明[1] 彭林[1] 

机构地区：[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

出　　处：《中国实用外科杂志》2012年第10期851-852,共2页Chinese Journal of Practical Surgery

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。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.

关 键 词：腹股沟疝 日间手术 无张力修补 局部麻醉 

分 类 号：R6[医药卫生—外科学]