【摘要】 目的总结"24h出入院"治疗模式在腹股沟疝临床治疗中应用的经验和体会。方法对广东省人民医院2008年6月至2010年12月收治的1582例接受"腹股沟疝24h出入院"诊疗病人的临床资料进行回顾性分析。结果 1551例(98.1%)在24h内顺利出院,31例(1.9%)因出现术后不适而延迟出院时间:18例(1.1%)因疼痛影响活动,予小剂量镇痛药可有效控制,2~4周后症状消失;13例(0.8%)出现阴囊血清肿,其中7例经保守治疗后自行缓解,4例因阴囊肿胀明显返院行针刺抽液,2例行手术置管引流后症状缓解。结论 "腹股沟疝24h出入院"模式简单易行,疗效可靠,是值得推广的腹股沟疝修补治疗方式。更多还原

【Abstract】 Objective To summarize the experiences of"discharging in 24-hours"clinic model in the therapy of inguinal hernia. Methods The clinical data of 1582 cases of inguinal hernia performed treatment with"discharging in 24-hours"model from June 2008 to December 2010 in Guangdong General Hospital were analyzed retrospectively. Results Among all cases, 1551 cases(98.1%)were discharged in 24 hours, and 31 cases(1.9%)were postponed due to postoperative discomfort: 18 cases(1.1%)suffered from pain could be controlled by small dose of analgesic and then the pain disappeared in 2-4 weeks; 13 cases(0.8%)developed seroma of scrotum including 4 cases of seroma cured via punctured owing to severe scrotum swelling, 2 cases underwent operation to drainage and 7 cases of spontaneous remission after conservative therapy. Conclusion The"discharging in 24-hours"model in herniorraphy of inguinal hernia is a simple, efficacious and safe approach, which deserves to be popularized.更多还原