日间手术在儿童鞘膜积液腹腔镜手术中的应用  

Application of day surgery mode in laparoscopy for hydrocele in children

作　　者：刘志新 陈小林 肖文军 刘思琪 Liu Zhixin;Cheng Xiaolin;Xiao Wenjun;Liu Siqi(Department of Pediatric Surgery,Women and Children Hospital of Zhuzhou,Hunan 412008,China)

机构地区：[1]株洲市妇幼保健院小儿外科,湖南412008

出　　处：《中华腔镜泌尿外科杂志(电子版)》2025年第1期36-40,共5页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨日间手术模式在儿童鞘膜积液腹腔镜手术中的应用。方法将2020年1月至2022年3月在株洲市妇幼保健院小儿外科应用腹腔镜技术治疗儿童鞘膜积液的患儿进行分组,日间手术模式下完成手术的鞘膜积液患儿57例,为日间手术组,普通住院流程下完成手术的鞘膜积液患儿54例为对照组,比较两组患儿平均住院时间、平均住院费用以及家属满意度等指标。结果两组病例均顺利完成手术,术前单侧鞘膜积液患儿107例,发现对侧鞘状突未闭(CPPV)33例,发生率30.84%,其发生率与左右侧间的差异无统计学意义;双侧鞘膜积液4例。日间手术组平均住院日为(1.7±0.7)d,平均住院费用为(5978±584)元,均明显低于对照组(3.8±0.6)d、(6362±771)元,差异具有统计学意义(P<0.05)。日间手术组患儿家属满意度(96.49%)明显优于对照组(92.59%),差异具有统计学意义(P<0.05)。结论日间手术模式在儿童鞘膜积液腹腔镜手术中的应用明显缩短了患儿住院时间,降低了住院费用,提高了患儿家属满意度。Objective To explore the application of day surgery mode in laparoscopy for hydrocele in children.MethodsThe clinical data in 57 cases of child hydrocele (day surgery group)surgically treated by the daytime laparoscopic surgery of Women and Children Hospital of Zhuzhou from January 2020 to March 2022 were analyzed, and compared with 54 cases with hydrocele treated by the general laparoscopic procedure(control group).Results33 cases (30.84%) with contralateral patent processus vaginalis (CPPV) were observed among 107 cases with unilateral hydrocele,the prevalence of CPPV was not statistically different between different initial sides. There were 4 cases with bilateral hydrocele. The indexes included:length of stay (1.7±0.7) d, the cost (5978±584) yuan, and the satisfaction of family members (96.49%) in the day surgery group, which were better than that in the control group,and the difference was statistically significant (P<0.05).ConclusionThe application of day surgery mode in laparoscopy for hydrocele in children significantly shortened the hospital stay, reduced the hospital cost, and improved the satisfaction of children&apos;s family members.

关 键 词：日间手术 鞘膜积液 腹腔镜 麻醉 儿童 

分 类 号：R726.5[医药卫生—儿科]