Millikan改良法在原发性腹股沟疝充填式无张力修补术中的应用  

Application of Millikan＇s modified modality in primary tension- free mesh-plug inguinal herniorrhaphy

作　　者：林龙[1] 杨毅军[1] 邱庆安[1] 王保春[1] 

机构地区：[1]海南省人民医院普通外科,海南570311

出　　处：《国际外科学杂志》2009年第12期821-824,共4页International Journal of Surgery

摘　　要：目的总结Millikan改良法用于腹股沟疝充填式无张力修补术的临床效果。方法回顾性分析2005年1月-2006年12月海南省人民医院采用Millikan法手术治疗的185例初发性腹股沟疝患者的临床资料。结果本组男184例，女1例，平均年龄为47岁（32～75岁），其中7例为双侧疝。一侧疝手术时间平均为49min（30～70min），术后住院时间平均为5．1d（3—18d），并发症发病率为10．8％（20／185），随访24个月以上无复发。结论Millikan法改良无张力疝修补术是一种治疗腹股沟疝的安全有效的方式，并发症少、复发率低。Objective To sununarize the clinical efficacy of Millikan＇s modified modality using tension- free mesh-plug inguinal herniorrhaphy. Methods A retrospective study was performed in 185 cases with inguinal hernias. They received surgical treatment using Millikan＇s modality in our hospital from Jan. 2005 to Dec. 2006. Results There were 184 males and 1 female in these patients with a average age of 47 years （ range 32 -75 years ）. Among them, 7 cases had bilateral hernia. The mean operative time of each hernia was 49 min （ range 30 -70 min）, and the average postoperative hospital stay was 5.1 days （range 3 - 18 d）. The complication rate was 10. 8 % （20/185 ）. All patients had no recurrence after following-up over 24 months. Conclusion Millikan＇s modified mesh-plug hernioplasty is a safe and effective modality in the primary inguinal hernia repair, and has fewer complications and lower recurrence rate.

关 键 词：腹股沟疝 无张力疝修补术 疝环充填式网片 Millikan改良法 效果 

分 类 号：R656.21[医药卫生—外科学] R713.42[医药卫生—临床医学]