日间腹腔镜下肝囊肿开窗术的应用效果分析  

Analysis of the application effect of hepatic cyst windowing during ambulatory laparoscopy

作　　者：李旺勇 孙杰 冯其柱 谢应海 王琦 Li Wangyong;Sun Jie;Feng Qizhu;Xie Yinghai;Wang Qi(Department of General Surgery,Huainan First People′s Hospital,Fourth Affiliated Hospital of Bengbu Medical College,Huainan 232007,China;Department of Ambulatory Surgery Center,Huainan First People′s Hospital,Fourth Affiliated Hospital of Bengbu Medical College,Huainan 232007,China)

机构地区：[1]蚌埠医学院第四附属淮南市第一人民医院普外科,232007 [2]蚌埠医学院第四附属淮南市第一人民医院日间手术中心,232007

出　　处：《国际外科学杂志》2020年第10期661-666,共6页International Journal of Surgery

摘　　要：目的探讨日间模式下肝囊肿手术临床应用的安全性。方法回顾性分析蚌埠医学院第四附属淮南市第一人民医院2017年1月—2019年12月收治84例肝囊肿患者的资料,按照随机数字表法分为研究组(n=42)和对照组(n=42)。对照组采用传统的围手术期管理方法,研究组采用日间手术治疗模式。评估两组患者的住院天数、住院总费用、就医满意度、术后7 d日常生活能力(ADL)评分、临时取消手术率、非计划再入院率、术后总并发症等指标。正态分布的计量资料采用均数±标准差(Mean±SD)表示,组间比较采用独立样本t检验。计数资料以百分比(%)表示,组间比较用χ2检验。结果研究组住院天数、住院总费用分别为(1.76±0.82)d、(0.55±0.10)万元,对照组分别为(5.33±1.69)d、(0.90±0.22)万元,研究组均少于对照组,两组比较差异均具有统计学意义(P<0.001)。研究组的患者就医满意度评分为(4.20±0.64)分,对照组为(3.20±0.92)分,研究组高于对照组,两组差异有统计学意义(P<0.001)。研究组术后ADL评分、临时取消手术率、非计划再入院率、术后总并发症发生率分别为(46.45±9.75)分、4.76%、7.14%、9.52%,对照组分别为(45.57±7.02)分、2.38%、4.76%和7.14%,两组比较差异均无统计学意义(P>0.05)。结论日间腹腔镜下肝囊肿开窗术治疗肝囊肿患者安全有效,与传统住院手术相比,可减少住院天数及住院花费,增加患者就医满意度。Objective To explore the safety of clinical application of liver cysts under the mode of ambulatory surgery.Methods Retrospective analysis of the data of 84 patients with liver cysts admitted to the Huainan First People′s Hospital,the Fourth Affiliated Hospital of Bengbu Medical College from January 2017 to December 2019,they were divided into study group(n=42)and control group according to the random number table method(n=42).The control group adopted the traditional perioperative management method,and the research group adopted the day surgery treatment mode.The two groups of patients were evaluated for their hospitalization days,total cost,satisfaction,activity of daily living(ADL)score of 7 days after surgery,temporary cancellation rate,unplanned readmission rate,total postoperative complications and other indicators.Normally distributed measurement data were expressed as mean±standard deviation(Mean±SD),and independent sample t test was used for comparison between groups.Enumeration data was expressed as a percentage(%),and comparison between groups was performed by chi-square test.Results The length of stay in the study group and the total cost of hospitalization were(1.76±0.82)d and(0.55±0.10)ten thousand yuan,respectively.The control group were(5.33±1.69)d and(0.90±0.22)ten thousand yuan,respectively.The study group was lesser than In the control group,the differences between the two groups were statistically significant(P<0.001).The patient satisfaction score of the study group was(4.20±0.64)points,and the control group was(3.20±0.92)points.The study group was higher than the control group.The difference between the two groups was statistically significant(P<0.001).The postoperative ADL score,temporary cancellation rate,unplanned readmission rate,and total postoperative complication rate in the study group were(46.45±9.75)points,4.76%,7.14%and 9.52%,respectively.The control group were(45.57±7.02)points,2.38%,4.76%and 7.14%,there was no significant difference between the two groups(P>0.05).Con

关 键 词：囊肿 引流术 手术后并发症 肝囊肿 日间手术 

分 类 号：R657.3[医药卫生—外科学]