应用Desarda技术修补青年腹股沟疝65例报告  

Repair of inguinal hernia in young patients by using Desarda technique: A report of 65 cases

作　　者：裴利娟[1] 朱新勇[1] 孙鹏君[1] 付庭焕 田文[2] 李基业[1] 

机构地区：[1]中国人民解放军总医院第一附属医院普外科,北京100048 [2]中国人民解放军总医院普外科,北京100853

出　　处：《中国实用外科杂志》2014年第5期422-425,共4页Chinese Journal of Practical Surgery

摘　　要：目的：评价Desarda技术修补青年腹股沟疝的临床效果。方法回顾性分析2008年5月至2013年8月中国人民解放军总医院第一附属医院普外科收治的行Desarda技术修补的65例青年腹股沟疝病人的临床资料，其中斜疝58例，直疝7例；Ⅰ型疝21例，Ⅱ型疝37例，Ⅲ型疝7例。结果65例病人均完成了Desarda手术，无术中并发症发生；手术时间为（52.6±9.4）min；住院时间为（6.4±1.6）d。术后24 h内，83.1%（54/65）的病人可下床活动；术后第1天，下床走动时轻度疼痛但能耐受的病人占89.2%（58/65），疼痛较重者占7.7%（5/65），12.3%（8/65）的病人需使用1～2次止痛剂；术后第3天，93.8%（61/65）的病人疼痛程度明显减轻，仅有轻度不适感；术后2周，95.4%（62/65）的病人不舒适感完全消失；80.4%（52/65）的病人术后10～16 d恢复工作。术后1个月内未出现阴囊血肿、切口感染、缺血性睾丸炎。截至2013年12月，90.8%（59/65）的病人获得随访，随访时间4～67个月，未发现慢性疼痛及复发病例。结论 Desarda技术是一种有效的青年腹股沟疝组织修补技术。Objective To evaluate the clinical effect of inguinal hernia repair in young patients by using Desarda technique. Methods The clinical data of 65 young cases of inguinal hernia underwent Desarda technique from May 2008 to August 2013 at Department of General Surgery,the First Hospital Affiliated to General Hospital of PLA were analyzed retrospectively. The 65 cases included 58 cases of indirect hernias,7 cases of direct hernia. There were 21 cases of typeⅠhernia,37 cases of typeⅡhernia and 7 cases of typeⅢhernia. Results All of the 65 cases were operated on with Desarda technique. No intraoperative complication occurred. The mean operative time was（52.6 ± 9.4）min and the mean hospital stay was （6.4 ± 1.6） days. A total of 83.1% （54/65） of cases were ambulatory within 24h after the surgery. The were 89.2%of cases （58/65） with tolerant mild pain, 7.7%（5/65）of cases with severe pain and 12.3%（8/65） of cases need analgesic once or twice on the first day after operation. A total of 93.8%（61/65） of cases were with relieved pain obviously and had only mild discomfort on the third day after operation. The discomfort in 95.4%（62/65） of cases was disappeared in the second weeks after operation. A total of 80.4%（52/65） of cases returned to normal work between 10 and 14 days after the surgery. There was no scrotal haematoma, seroma, wound infection and ischemic orchitis observed within one month after the operation. The follow-up period ranged from 4 to 67 months （ median 39 months）, and there was no chronic pain and recurrence. Conclusion Desarda technique is an effective procedure for inguinal hernia in young patients.

关 键 词：Desarda技术 青年 腹股沟疝 

分 类 号：R6[医药卫生—外科学]