摘要
目的:探讨改良日间手术流程在日间手术中心开展隐匿性阴茎手术相对于传统住院流程及标准日间流程的优势,以及在我国推广的可行性。方法:回顾性分析河北医科大学第二医院行改良日间手术的隐匿性阴茎患儿135例(日间组)与住院手术的101例(住院组)的临床资料及术后对患儿家属的随访。改良日间手术流程是指在每个手术科室病房内单独设立日间病房,并观察至第2天早上8点,评估患儿的病情,以确定是否可以出院。患儿临床资料对比分为两组,包括患儿手术年龄、术中出血量、手术时间、住院费用、住院时间以及术后至第1次换药前出现的短期并发症发生率。患儿满意度调查分成改良日间组、标准日间组和住院组3组,比较组间满意度。结果:住院组年龄为(8.92±4.42)岁,日间组年龄为(11.85±4.43)岁。两组患儿手术时间、出血量、术后并发症差异均无统计学意义(P>0.05)。与住院组相比,日间组住院时间缩短69%(P<0.05),住院费降低27%(P<0.05)。3组中改良日间流程组的患儿家属满意度最高。结论:改良日间手术流程开展隐匿性阴茎手术相较于标准日间手术流程与传统住院流程均有优势,可在国内推广。
Objective:The modified day surgery procedure was compared with traditional inpatient procedure and standard day surgery procedure of concealed penile surgery to investigate its advantages,as well as the feasibility of promoting it in our country.Methods:Retrospective analyzing the clinical data between 135 cases of the concealed penis in children who underwent modified day surgery(day group)and 101 cases who underwent hospitalization surgery(hospitalization group)at the Second Hospital of Hebei Medical University and the results of follow-up.The modified day surgery procedure involves the establishment of dedicated day wards in each surgical department,where the patients condition is monitored until 8 oclock the following morning to assess their discharge eligibility.The children’s clinical data was divided into two groups to compare clinical parameters,including age at surgery,bleeding volume,operation time,hospitalization expenses,day of hospitalization,and the occurrence of short-term complications before the initial dressing change after surgery.The satisfaction survey of the children was conducted among three distinct groups:the modified day group,the standard day group,and the hospitalization group enabling a comparison of satisfaction levels among these groups.Results:The mean ages of the inpatient and day surgery groups were 8.92±4.42 years old and 11.85±4.43 years old,respectively.No significant differences were observed between these two groups regarding operation time,bleeding volume,and postoperative complications(P>0.05).Compared to the inpatient group,the mean inpatient time and the hospitalization cost of the day group decreased by 69%and 27%,respectively(P<0.05).The patients in the modified procedure group reported the highest satisfaction among the three groups.Conclusion:Modified day surgery procedure offers advantages over the standard day surgery procedure and traditional inpatient surgical procedures for the operative treatment of the concealed penis,which makes it suitable for large-scale popularization in China.
作者
杨昊璇
付圣杰
杨明萱
赵素顺
申宇峰
薛文勇
杜蕾
马子越
王亚轩
张琳
齐进春
YANG Hao-xuan;FU Sheng-jie;YANG Ming-xuan;ZHAO Su-shun;SHEN Yu-feng;XUE Wen-yong;DU Uei;MA Zi-yue;WANG Ya-xuan;ZHANG Uin;QI Jin-chun(Department of Urology,The Second Hospital of Hebei Medical University,Shijiazhuang,Hebei 050000 China;Hebei Childrens Hospital,PICU,Shijiazhuang,Hebei 050000 China;The No.4 People s Hospital of Hengshui,Hengshui,Hebei 053000 China;Day Surgery Center,The Second Hospital of Hebei Medical University,Shijiazhuang,Hebei 050000 China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2023年第8期716-720,共5页
National Journal of Andrology
基金
河北省医科科学研究课题计划(20240110)
衡水市科技计划(2022014004Z)
关键词
改良日间手术流程
隐匿性阴茎
术后并发症
满意度
modified day surgery procedure
concealed penis
postoperative complications
patient satisfaction
作者简介
杨昊璇(1999-),男,河北唐山市人,硕士研究生,从事小儿泌尿外科相关研究;通讯作者:齐进春,Email:qijinchun@hebmu.edu.cn
