Greene W B
J Pediatr Orthop. 1987 May-Jun;7(3):256-8. doi: 10.1097/01241398-198705000-00002.
The proper use of outpatient surgery is still being defined. In similar groups of cerebral palsied children, the results of Achilles tendon lengthening were compared in those having inpatient versus outpatient surgery. No significant anesthesia or surgical complication occurred in either group, and independent ambulation in casts was achieved at similar times. Pain medication requirements (based on an analgesic potency scale) averaged 9.5 +/- 6.0 for the children having outpatient surgery compared with 25.8 +/- 22.8 for those having inpatient surgery (p less than 0.02). Outpatient Achilles tendon lengthening provides psychological and economic advantages without compromise of surgical results.
门诊手术的合理应用仍在界定之中。在脑瘫患儿的类似群体中，对接受住院手术和门诊手术的患儿跟腱延长术的结果进行了比较。两组均未发生显著的麻醉或手术并发症，且在相似时间内实现了打石膏后的独立行走。接受门诊手术的患儿的止痛药物需求（基于镇痛效能量表）平均为9.5±6.0，而接受住院手术的患儿为25.8±22.8（p<0.02）。门诊跟腱延长术具有心理和经济优势，且不影响手术效果。
