儿童腹股沟疝日间手术模式的安全性和有效性

目的探讨儿童腹股沟疝日间手术模式的安全性及可行性。 方法回顾性分析2018年1月至2019年6月山东大学附属济南市中心医院收治的腹股沟疝患儿共158例，按照诊疗模式分为常规手术组患儿80例，日间手术组患儿78例。所有患儿均在全身麻醉下行腹腔镜手术，观察2组手术时间，总住院时间，术后并发症，住院费用、患儿家长及医护的满意度。 结果2组患儿均顺利完成手术，日间手术组总住院时间[（16.27±3.53）h]、住院费用[（7276.09±1599.90）元]较常规手术组[（70.40±13.48）h、（7860.43±1406.66）元]显著偏低，日间手术组医护满意度（非常满意+满意度，91.0%）、患儿家长满意度（非常满意+满意度，97.4%）较常规手术组（78.8%、87.5%）偏高，差异均有统计学意义（P<0.05）；2组手术时间、术后并发症差异无统计学意义（P>0.05）。 结论儿童腹股沟疝日间手术是一种安全有效的手术模式，可提高医护及患儿家属满意度，符合快速康复外科理念。

The study on the security safety and feasibility efficacy of ambulatory surgery mode in children's inguinal hernia

ObjectiveTo explore the safety and feasibility of ambulatory surgery medical mode in pediatric inguinal hernia. MethodsThe clinical data of 158 children with inguinal hernia who were admitted in Jinan Central Hospital Affiliated Shandong University from January 2018 to June 2019 was retrospectively analyzed. According to the treatment model, the patients were divided into two groups: common surgery group (80 cases) and ambulatory surgery mode group (78 cases). All patients were treated with laparoscopic surgery under general anesthesia. The operation time, total hospitalized time, postoperative complications, hospitalization expenses and the degree of satisfaction in parents and medical workers of the two groups were observed. ResultsThe operations were accomplished successfully in both groups, and the total hospitalized time (16.27±3.53) h, hospitalization expenses (7276.09±1599.90) yuan in the group of ambulatory surgery mode were significantly lower than those in common surgery group (70.40±13.48) h, (7860.43±1406.66) yuan (P<0.05). The degree of satisfaction of medical staff (very satisfied+satisfied, 91.0%) and parents (very satisfied+satisfied, 97.4%) in ambulatory surgery group were significantly higher than those in common surgery group (78.8%, 87.5%) (P<0.05). There were no significant differences in the operation time and postoperative complications between the two groups (P>0.05). ConclusionThe ambulatory surgery is a safe and effective mode in inguinal hernia of children, which can enhance the satisfaction degree of medical workers and parents, and is in line with the concept of rapid rehabilitation surgery.