日间手术模式下手术治疗臀肌挛缩的安全性及可行性探索

Safety and feasibility of gluteal muscle contracture in day surgery mode

目的探索日间手术模式下轻中度臀肌挛缩手术治疗的安全性及可行性。方法回顾性分析2021年7月—2022年7月于四川大学华西医院接受日间手术模式下手术治疗轻中度臀肌挛缩患者的临床资料。术后第2、3、30天进行电话随访。观察患者的基本情况、手术时间、术中出血量、麻醉时间、术后6 h疼痛评分、住院费用、术后并发症及患者满意度。结果共纳入患者44例,其中男17例,女27例;年龄18~51岁,中位年龄30.5岁。所有患者术前诊断均为双侧轻中度臀肌挛缩,除1例患者因术中单侧出血量大仅完成一侧手术外,其余患者均顺利完成双侧手术;所有患者均按计划顺利出院。44例患者平均手术时间为(71±13)min,平均术中出血量为(20±17)mL,平均麻醉时间为(118±21)min。术后6 h疼痛数字评分除1例为5分外,其余患者均为轻度疼痛或无疼痛(≤3分),平均住院费用为(10021.55±1142.10)元。术后发生切口愈合不良3例。术后第30天电话随访,所有患者均恢复正常生活和工作,满意度均为满意,未见日间手术相关严重并发症和死亡发生。结论日间手术模式下手术治疗轻中度臀肌挛缩是安全、有效和可行的。

Objective To explore the safety and feasibility of day surgery program of surgical treatment of mild to moderate gluteal muscle contracture.Methods We retrospectively analyzed the clinical data of the patients who received invasive surgery to release gluteal muscle contracture in West China Hospital of Sichuan University between July 2021 and July 2022.Postoperative telephone follow-up was conducted on the 2nd,3rd,and 30th day after surgery.The basic conditions,surgery duration,intraoperative blood loss,anesthesia duration,pain score 6 h after surgery,hospitalization expenses,postoperative complications and patient satisfaction were observed.Results A total of 44 patients,17 males and 27 females,aged 18-51 years with a median age of 30.5 years,diagnosed as bilateral mild to moderate gluteal muscle contracture,were included in this study.All patients except one with unilateral surgery were successfully finished the bilateral surgeries and discharged as planned.The mean surgery duration was(71±13)min,intraoperative blood loss was(20±17)mL,anesthesia duration was(118±21)min.All patients complained mild pain or no pain(Numerical Rating Scale score≤3)except one patient received pain rescue(Numerical Rating Scale score=5)6 h after surgery.The average hospitalization expenses was(10021.55±1142.10)yuan.Three patients complained the poor wound healing.All patients replied a normal life and work with a good satisfaction and without any severe complications by telephone follow up on the 30th day postoperatively.Conclusion Surgical treatment of mild to moderate gluteal muscle contracture is safe,effective and feasible in the day surgery mode.