改良日间手术流程下开展低位隐睾手术的可行性分析  

Feasibility low cryptorchidism surgery following modified day surgical procedures

作　　者：杨昊璇 杨明萱 申宇峰 薛文勇[1] 杜蕾[1] 马子越 张琳[2] 王亚轩[1] 齐进春[1] YANG Hao-xuan;YANG Ming-xuan;SHEN Yu-feng;XUE Wen-yong;DU Lei;MA Zi-yue;ZHANG Lin;WANG Ya-xuan;QI Jin-chun(Department of Urology,The Second Hospital of Hebei Medical University,Shijiazhuang,Hebei 050000,China;Day Surgery Center,The Second Hospital of Hebei Medical University,Shijiazhuang,Hebei 050000,China)

机构地区：[1]河北医科大学第二医院泌尿外科,河北石家庄050000 [2]河北医科大学第二医院日间手术中心,河北石家庄050000

出　　处：《中华男科学杂志》2022年第9期800-805,共6页National Journal of Andrology

基　　金：河北省省级科技计划(20377724D)。

摘　　要：目的:通过分析改良日间手术流程下,在日间手术中心以及常规手术室开展的低位隐睾手术患儿的临床资料及术后并发症情况,探讨在日间手术中心开展隐睾手术的可行性与安全性。方法:回顾性分析2018年7月至2022年7月于河北医科大学第二医院手术治疗的122例单侧低位隐睾患儿(单侧隐睾组)及27例双侧低位隐睾患儿(双侧隐睾组)临床资料,并调查满意度。其中单侧隐睾组分为日间A组与住院A组,双侧隐睾组分为日间B组与住院B组。结果:单侧隐睾组患儿组间的手术年龄,手术时间、出血量、术后并发症均无统计学差异(P>0.05);与住院A组相比,日间A组住院时间缩短69%(P<0.05),住院费降低约10%。双侧隐睾组患儿手术年龄与出血量无统计学意义,但手术时间存在差异;与住院B组相比,日间B组住院时间缩短62%,住院费降低14%。日间手术患者满意度高于住院患者。结论:在改良日间手术流程下,低位隐睾手术安全可行,在降低手术费用的同时缩短了住院时间。Objective:To explore the feasibility and safety of cryptorchidism surgery in the day surgery center.Methods:This retrospective study included 122 cases of unilateral low cryptorchidism(ULC)and 27 cases of bilateral low cryptorchidism(BLC)treated by orchidopexy from July 2018 to July 2022 in the Second Hospital of Hebei Medical University.We divided the patients with ULC into an Ad(day surgery following modified day surgical procedures)and an Ac(conventional surgery)group,and those with BLC into a Bd and a Bc group.We analyzed the clinical data and compared the surgical parameters and patients’satisfaction between different groups.Results:There were no statistically significant differences in the operation age,operation time,intraoperative blood loss,or postoperative complications between the Ad and Ac groups(P>0.05),but the hospital stay and total cost were markedly reduced in the Ad group by 69%and 10%,respectively,compared with those in the Ac group(P<0.05).No statistically significant differences were observed between the Bd and Bc groups in the operation age or intraoperative blood loss(P>0.05),but the Bd group showed significant decreases in the operation time,hospital stay(62%)and total cost(14%)in comparison with the Bc group(P<0.05).The satisfaction of the patients was remarkably higher in the former than in the latter group.Conclusion:Low cryptorchidism surgery following the modified day surgical procedures in the day surgery center is safe and feasible,with the advantages of lower cost and shorter hospital stay.

关 键 词：改良日间手术流程 隐睾 睾丸引降固定术 术后并发症 经济效益 患者满意度 

分 类 号：R699.8[医药卫生—泌尿科学]