Kald A, Nilsson E
Department of Surgery, Motala Hospital, Sweden.
Qual Assur Health Care. 1991;3(3):205-10. doi: 10.1093/intqhc/3.3.205.
Questionnaires were sent five years postoperatively to all patients between 15 and 80 years old at operation who were treated for inguinal or femoral hernia in 1984 at Motala Hospital. Patients were asked about pain or a lump in the operation area and a clinical examination was offered. Of 137 patients with 142 hernias, 92% answered the questionnaire and 88% came to the examination. Among patients who answered the questionnaire and attended the examination the cumulated recurrence rate was 19%, when recurrence was defined as an indication for reoperation or a bulge in the operation area that appeared or increased during abdominal straining. Predictive values for positive and negative questionnaire answers in relation to hernia recurrence were 69% and 95%, respectively. In 14% of hernia operations a reoperation had been performed or was needed. Testicular atrophy was found in 2.7% of male patients. A questionnaire follow-up may be appropriate for identifying patients with symptomatic recurrencies, but it is inadequate as a single indicator of quality assessment in hernia surgery.
问卷于术后五年寄给了1984年在莫塔拉医院接受腹股沟疝或股疝治疗的所有手术时年龄在15至80岁之间的患者。询问患者手术区域是否疼痛或有肿块，并提供临床检查。在137例患者的142处疝中，92%的患者回复了问卷，88%的患者前来接受检查。在回复问卷并参加检查的患者中，累积复发率为19%，复发定义为再次手术指征或腹部用力时手术区域出现或增大的肿块。问卷回答阳性和阴性与疝复发相关的预测值分别为69%和95%。14%的疝手术已经进行了再次手术或需要再次手术。在男性患者中发现2.7%有睾丸萎缩。问卷调查随访可能适合于识别有症状复发的患者，但作为疝手术质量评估的单一指标是不够的。
