改良Millikan网塞法和Shouldice术式治疗Ⅱ型腹股沟疝的疗效对比  

Comparing the effects of the Shouldice′s and the Millikan modified mesh-plug hernioplasty on repairing Ⅱ inguinal hernia

作　　者：李健 

机构地区：[1]云南省普洱市思茅区人民医院,云南普洱665000

出　　处：《中国现代医学杂志》2009年第20期3148-3150,3154,共4页China Journal of Modern Medicine

摘　　要：目的对比改良Millikan网塞法和Shouldice术式治疗II型腹股沟疝的临床效果,探讨最佳的疝修补术式。方法84例Ⅱ型腹股沟疝病例随机分为改良Millikan补片(A)组(n=42)和Shouldice术式(B)组(n=42),对比观察住院期间及术后12个月各相关指标的差异。结果住院并发症如疼痛持续时间大于5d,感染、阴囊血肿、阴囊水肿和发热的发生率两组无差异(P>0.05);两组间切口长度、术中出血量、手术时间、平均下床活动及住院时间、疝复发率、恢复正常步速时间和提重物时间均无差异(P>0.05);A组平均住院费用明显高于B组(P=0.000)。结论治疗Ⅱ型腹股沟疝时,Shouldice术式和改良Millikan网塞修补法的疗效无明显差异,应该作为治疗该类疝的首选术式。[ Objective ] To investigate the best means for repairing Ⅱ inguinal hernia. [ Methods ] 84 patients suffered from Ⅱ inguinal hernia were randomly divided into millikan group （group A） and Shouldiee group （group B）. Patients in group A were treated with shouldiee＇s hernia repair means and in group B were treated with the millikan modified mesh-plug hernioplasty. The following variables of patients were analyzed： age, location and type of hernia, evaluation of tolerance to local anesthesia, operating time, pain in 5 days after surgery, days of walking normally, and could lift 10 kg and 15 kg goods. [Results] The basic profiles of patients in two groups were similar. No significant differences were found in pain after 5 days of operation, time before getting off bed, or days of walking normally, days off work, and could lift 10 kg and 15 kg goods [P 〈0.05）. The cost of the shouldice＇s was 2134.5 ±671.5 yuan compared with 4564.2 ±501.0 yuan for millikan＇s and this difference was statistically significant （P = 0.000）. [ Conclusion ] The shouldice technique may be the best choice in repairing of Ⅱ hernias for the results are just as satisfactory as those obtained with millikan hemioplasty and hospital costs are significantly lower.

关 键 词：Ⅱ型腹股沟疝 Millikan网塞法 SHOULDICE术 

分 类 号：R656.21[医药卫生—外科学]