期刊文献+

腹腔镜腹股沟疝修补术安全性和有效性评估研究 被引量:4

Assessment of safety and effectiveness of laparoscopic inguinal hernia repair
原文传递
导出
摘要 目的介绍卫生技术评估中有关医疗技术安全性和有效性的评估方法,以提高医疗质量和管理水平。方法通过比较腹腔镜腹股沟疝修补术与无张力疝修补术和传统疝修补术的相关指标,评估腹腔镜腹股沟疝修补术的安全性和有效性。结果腹腔镜手术组的并发症和复发发生率低于传统手术组,腹腔镜手术病人恢复正常活动的时间短于传统手术病人和无张力手术病人(P〈0.001)。结论进行医疗技术的安全性和有效性评估,对科学严谨地运用医疗技术、提供安全有效的医疗服务,具有重要意义。 Objective To introduce the method for assessment of safety and effectiveness of medical technique, thus to improve the medical quality and management level. Methods The safety and effectiveness of laparoscopic inguinal hernia repair were assessed through the comparison of related indexes between laparoscopic inguinal hernia repair and tension-free repair as well as traditional repair of inguinal hernia. Results The incidence rates of complication and recurrence in patients with laparoscopic surgery were lower than those with traditional surgery. The time of recovery in patients with laparoscopic surgery was shorter than those with traditional and tension-free surgeries (P〈0. 001). Conclusion Assessment of safety and effectiveness of medical technique is of great significance to provide safe and effective medical service by scientific use of medical technology.
出处 《中华医院管理杂志》 北大核心 2007年第7期454-457,共4页 Chinese Journal of Hospital Administration
关键词 腹腔镜 疝修补术 安全性 有效性 评估 Laparoscopy Inguinal hernia repair Safety Effectiveness Assessment
  • 相关文献

参考文献8

  • 1夏蕾,董军,徐勇勇.卫生技术评估与医院管理[J].军医进修学院学报,2005,26(1):23-24. 被引量:9
  • 2Douek M, Smith G, Oshowo A, et al. Prospective randomized controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up. BMJ,2003, 326:1012-1013.
  • 3Liem MS, van Duyn EB, van der Graaf Y, et al. Recurrences after conventional anterior and laparoscopic inguinal hernia repair. Annals of Surgery, 2003, 237(1):136-141.
  • 4The MRC Laparoseopie Groin Hernia Trial Group. Laparoseopie versus open repair of groin hernia: a randomized comparison. Lancet, 1999, 354:183-188.
  • 5Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair in adults[J]. Lancet, 1994,344 : 375-379.
  • 6陈焕伟,甄作均,苏树英,许卓明,费凛,计勇.传统腹股沟疝修补、开放性无张力疝修补及腹腔镜疝修补术的临床对比研究[J].外科理论与实践,2002,7(6):462-464. 被引量:19
  • 7Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hemioplasty[J]. Surg Endosc, 1995,9 : 140-144.
  • 8Bringman S, Ramel S, Heikkinen TJ, et al. Tension-free inguinal hernia repair: TEP versus mesh-plug versus Liehtenstein. Annals of Surgery, 2003, 237(1) : 142-147.

二级参考文献16

  • 1[1]Schumpelick V,Treutner KH, Arlt G.Inguinal hernia repair in adults[J]. Lancet, 1994,344(8919):375-379.
  • 2[2]Rutkow IM, Robbins AW. The Marlex mesh PerFix plug groin hemioplasty[J]. Eur J Surg, 1998,164(7):549-552.
  • 3[3]Schultz C, Baca I, Gotzen V. Laparoscopic inguinal hernia repair[J]. Surg Endosc, 2001,15(6):582-584.
  • 4[4]Ger R. The management of certain abdominal herniae by intra-abdominal closure of the neck of the sac. Preliminary communication[J]. Ann R. Coll Surg Engl, 1982,64(5):342-344.
  • 5[5]Schuhz L, Graber J, Pietrafitta J, et al. Laser laparoscopic herniorrhaphy: aclinical trial preliminary results[J]. J Laparoendosc Surg, 1990,1(1):41-45.
  • 6[6]Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty[J]. Surg Endosc, 1995,9(2):140-144.
  • 7[7]Corbitt JD. Laparoscopic herniorrhaphy. A preperitoneal tension-free approach[J]. Surg Endosc, 1993,7 (6) :550-555.
  • 8[8]Ferzli GS, Massad A, Albert P. Extraperitoneal endoscopic inguinal hernia repair[J]. J Laparoendosc Surg, 1992,2 (6):281-286.
  • 9[9]Huang SM, Wu CW, Lui WY. Intestinal obstruction after laparoscopic herniorrhaphy[J]. Surg Laparosc Endosc, 1997,7(4):288-290.
  • 10[10]Wright D, Paterson C, Scott N, et al. Five-year follow-up of patients undergoing laparoscopic or open groin hernia repair: a randomized controlled trial[J]. Ann Surg, 2002,235 (3):333-337.

共引文献26

同被引文献22

  • 1中华医学会外科学分会疝和腹壁外科学组.成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案(2003年修订稿)[J].中华外科杂志,2004,42(14):834-835. 被引量:630
  • 2李健文,郑民华,董峰,王明亮,陆爱国,胡伟国,毛志海,臧潞,蒋渝.腹腔镜腹股沟疝修补术的经验总结(附235例报告)[J].外科理论与实践,2005,10(2):126-128. 被引量:54
  • 3臧潞,李健文,毛志海,陆爱国,王明亮,董峰,马君俊,冯波,胡艳艳,郑民华.腹腔镜完全腹膜外与经腹腹膜前疝修补术临床对照分析[J].中国实用外科杂志,2005,25(10):611-613. 被引量:63
  • 4刘嘉林,余小舫,鲍世韵,帅建,吴海雄,毕建钢,周汉新.腹腔镜全腹膜外腹股沟疝修补术的术后并发症分析[J].腹腔镜外科杂志,2007,12(1):24-26. 被引量:9
  • 5FERZLI GS, FREZZA EE, PECORARO AM JR, et al. Prospective randomized study of stapled versus unstapled mesh in a laparoseopie preperitoneal inguinal hernia repair [J]. J Am Coll Surg, 1999, 188(5): 461-465.
  • 6BEATTIE GC, KUMAR S, NIXON SJ. Laparoscopic total extraperitoneal hernia repair: mesh fixation is unnecessary[J]. J Laparoendosc Adv Surg Tech A, 2000, 10(2): 71-73.
  • 7KOCH CA, GREENLEE SM, LARSON DR, et al. Randomized prospective study of totally extraperitoneal inguinal hernia repair:fixation versus no fixation of mesh [J]. JSLS, 2006, 10 (4): 457-460.
  • 8EKLUND A, RUDBERG C, SMEDBERG S, et al. Short-term results of a randomized clinical trial comparing Liehtenstein open repair with totally extraperitaneal laparoseopie inguinal hernia repair[J]. Br J Surg, 2006, 93(9): 1060-1068.
  • 9ANDERSSON B, HALLEN M, LEVEAU P, et al. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: a prospective randomized controlled trial [J]. Surgery, 2003, 133(5): 464-472.
  • 10GOSWAMI R, BABOR M, OJO A. Mesh erosion into caecum following laparoscopic repair of inguinal hernia(TAPP): a case report and literature review [J]. J Laparoendosc Adv Surg Tech A, 2007, 17(5): 669-672.

引证文献4

二级引证文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部