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| 局部麻醉下腹股沟疝无张力修补术临床路径及其应用 | |
| 引用本文： | 石华伟,汤汉林,姜海平,祁应才,李新军. 局部麻醉下腹股沟疝无张力修补术临床路径及其应用[J]. 中华疝和腹壁外科杂志(电子版), 2014, 0(2): 21-24 |
| 作者姓名： | 石华伟 汤汉林 姜海平 祁应才 李新军 |
| 作者单位： | 暨南大学附属第一医院胃肠外科,广州,510000 |
| 摘 要： | 目的：探讨局部麻醉下腹股沟疝无张力修补术的临床路径及其应用。方法观察局部麻醉下腹股沟疝无张力修补术临床路径的56例患者住院时间、住院各项费用及并发症情况。结果进入临床路径56例患者中，54例完成临床路径，2例退出，完成率为96．4％；纳入临床路径的患者住院时间明显缩短，各项费用显著降低；有14例患者出现术后近期并发症，无复发。结论局部麻醉下腹股沟疝无张力修补术临床路径操作简单，能明显缩短住院时间、降低住院医疗成本，减轻患者和社会负担，值得推广。 |
| 关 键 词： | 疝,腹股沟 疝修补术 麻醉,局部 临床路径 |
The clinical pathway of tension-free inguinal hernia repair under local anesthesia |
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| Shi Huawei,Tang Hanlin,Jiang Haiping,Qi Yingcai,Li Xinjun. The clinical pathway of tension-free inguinal hernia repair under local anesthesia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2014, 0(2): 21-24 | |
| Authors: | Shi Huawei Tang Hanlin Jiang Haiping Qi Yingcai Li Xinjun |
| Affiliation: | . Department of Gastrointestinal Surgery, The First Affiliated Hospital of Jinan University, Guangzhou 510000, China |
| Abstract: | Objective To explore the clinical pathway of tension-free inguinal hernia repair under local anesthesia.Methods The clinical pathway of tension-free inguinal hernia repair was set up under local anesthesia.Time of hospitalization stay,hospitalization costs and complications were observed in 56 cases.Results There were totally 56 cases with 54 cases （96.4%）who completed the clinical pathway and 2 cases were withdrawal.Time of hospitalization stay was shortened and the costs were reduced in the cases with clinical pathway.Fourteen cases had postoperative short-term complications without recurrence after treatment.Conclusions The clinical pathway of tension-free inguinal hernia repair under local anesthesia is easy to operate,which can significantly shorten the time of hospitalization,reduce the medical costs,and reduce the patient and social burdens. |
| Keywords: | Hernia,inguinal Herniorrhaphy Anesthesia,local Critical pathways |
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