在罗马尼亚一家紧急县医院内 Hernia 管理的演变:一个单一中心的经验
概括
inguinal 的修复趋势显示向网状和腹腔镜技术的转变,尽管开放式手术仍然占主导地位. 紧急情况,监禁和开放式维修显著增加了住院时间.
科学领域:
- 一般外科 整体外科
- 外科手术的结果
- 椎间板裂修复 椎间板裂修复
背景情况:
- 阴带修复是一种常见的整体外科手术程序.
- 实践已经演变为基于网状的开放技术和腹腔镜方法 (TEP/TAPP).
- 随着COVID-19大流行,病例组合对紧急程序产生了影响.
研究的目的:
- 在近十年的时间里分析椎间修复的趋势.
- 确定影响 inguinal 患者停留时间 (LOS) 的因素.
- 为了比较不同手术方法和入院类型之间的结果.
主要方法:
- 这是一项针对1,760名成年患者的回顾性,纵向,单中心研究 (2013年7月 - 2021年12月).
- 对人口统计数据,入院类型,监禁,手术方法,麻醉和LOS的分析.
- 使用了描述性统计,威尔士t测试和多变量逻辑回归.
主要成果:
- 男性患者占主导地位 (91.8%),平均年龄为61岁.
- 在COVID-19期间,腹腔镜修复的使用增加了,但减少了;开放式修复仍然占主导地位 (84.9%).
- 平均LOS为3.31天,对于紧急,开放和监禁的时间更长 (p < 0.001).
结论:
- 诊所的实践转向了网状和腹腔镜 inguinal hernia 修复技术.
- 紧急情况,入狱和开放手术独立预测了长时间住院.
- 由于COVID-19的流行,暂时影响了选择性和腹腔镜手术的数量.
关键词:
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