| PHS和UHS在开放的腹沟股疝修补术中疗效及卫生经济学的比较 |
| Alternative Title | Outcome and medical economics of PHS versus UHS in inguinal hernia repair
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| 李鹏 |
| Thesis Advisor | 高明太
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| 2014-05-27
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | PHS
UHS
腹股沟疝
开放的腹股沟疝修补术
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| Abstract | 目的 通过回顾性分析，比较在开放的腹股沟疝修补术中应用PHS和UHS的近期疗效和卫生经济学价值。
方法 本研究纳入从2007年9月至2012年9月的腹股沟疝患者105名，疝的类型包括单侧和双侧的直疝和斜疝，均为成人可复性疝。按手术中植入材料（PHS或UHS）不同，将患者分为两组。本研究主要对血清肿，阴囊水肿，术后住院天数，住院费用进行分析评价。
结果 使用PHS补片53人；使用UHS补片52人。两组患者在年龄，性别，疝的类型方面无统计学差异。两组患者在术后发生的血清肿（p=0.125），阴囊水肿（p=0.187），住院天数（p=0.134）方面无统计学差异，而在总住院费用方面PHS组明显优于UHS组，排除材料费的住院费用方面两组无明显差异（p=0.383），在材料费上，PHS组优于UHS组（p=0.000）。
讨论 在开放的腹股沟疝修补术中，使用UHS补片在减少短期并发症方面并不优于使用PHS补片。然而在住院费用方面，UHS无疑增加了病人的经济负担。 |
| Other Abstract | Objective The present retrospective study aim to compare PHS and UHS for inguinal hernia repair in the late outcome and medical economics.
Method The retrospective study was conducted between September 2007 and September 2012 and included 105 patients suffering from uncomplicated groin hernia. The patients were divided into group PHS and group UHS in light of the type of mesh(PHS or UHS) for inguinal hernia repair. The outcome parameter was the rate of seroma, scrotum edema, length of stay, and costs.
Result One hundred and five patients were included in the study (PHS, 53; UHS, 52).There was no difference between two groups in term of demographic profile and hernia characteristics. There were no differences in the rate of seroma(p=0.125), scrotum edema(p=0.187), length of stay(p=0.134) between two groups. However, the patients in PHS group spent less money than UHS group. There were no differences between two group in hospitalization expenses except the cost of mess material (p=0.383).But PHS had a edge over UHS in the cost of mess material (p=0.000).
Conclusion In this study, there was no difference between PHS and UHS in complications but costs for inguinal hernia repair. Obviously, PHS took less costs than UHS for inguinal hernia repair. In terms of results, both mess for inguinal hernia repair seemed equally effective, but PHS had a edge over UHS. |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/223981
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
李鹏. PHS和UHS在开放的腹沟股疝修补术中疗效及卫生经济学的比较[D]. 兰州. 兰州大学,2014.
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