Millikan手术治疗腹股沟疝的临床应用价值  

The Therapeutic Value of Millikan Procedure in the Treatment of Inguinal Hernia

作　　者：周晓武[1] 王石林[1] 张海宏[1] 曹厚军[1] 

机构地区：[1]中国人民解放军空军总医院普通外科,北京100142

出　　处：《中国现代手术学杂志》2012年第3期189-191,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的评估Millikan手术治疗腹股沟疝的临床应用价值。方法用Millikan方法局麻下修补腹股沟疝52例,以同期行疝环充填式修补术的50例作为对照,观察两组手术效果、并发症、术后复发情况及生活质量等指标。结果 Millikan方法同疝环充填式修补法在手术时间、麻醉药用量以及围手术期并发症发生率方面比较无差异(P>0.05)。术后住院期间Millikan组镇痛药使用率明显低于对照组(38.5%vs.70.0%,P<0.01)。所有病例至少随访1年以上,两组均无复发。Millikan组慢性疼痛3月内仅1例,3月后消失;对照组术后3月慢性疼痛9例,超过1年5例。Millikan组1例有异物感,3月后消失;对照组3月时8例有明显异物感,其中5例时间超过了1年。两组术后慢性疼痛和异物感比较均有统计学差异(P<0.05)。结论 Millikan术式安全可靠,疗效确切,术后慢性疼痛轻,异物感更少,生活质量更佳。Objective To evaluate the clinical value of Millikan procedure in the treatment of inguinal hernia. Methods Millikan procedure was performed in 52 inguinal hernia cases under local anesthesia （as Millikan group）. Mesh ＆ and plug hernia repair was meanwhile done in the similar 50 cases （as control group）. The clinical outcomes, complications, hernia recurrence and quality of live were observed in the two groups. Results There was no significant difference in the operative time, local anesthetic doses and postoperative complication rate between the two groups （P 〉 0.05 ）. The application rate of analgesics of Millikan group was obvious less than that of control group （ 38.5% VS 70.0% , P 〈 0.01 ）. All cases were followed up more than one year, and no postoperative recurrence was found in two groups. In Mil- likan group, only one patient reported chronic pain at 3 month follow-up, and his pain disappeared after 3 months. In control group, 9 patients had chronic pain, 5 patients of them last the pain over one year. Similarly, foreign body sensation was found in one patient after operation and disappeared after 3 months in Millikan group, and was in 8 patients at 3 months after operation, five patients of them suffered from the bad feeling over one year in control group. There were statistic difference in postoperative chronic pain and discomfort sensation of foreign body between two groups （ P 〈 0.05 ）. Conclusion Millikan procedure is a feasible and effective method for inguinal hernia patient with no significant postoperative chronic pain, less discomfort and better quality of live.

关 键 词：疝 腹股沟 疝修补术 无张力 麻醉 局部 

分 类 号：R656.21[医药卫生—外科学]