CAJ | 학술논문

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49 min(30～70 min),术后住院时间平均为5.1 d(3～18 d),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.
목적 총결Millikan개량법용우복고구산충전식무장력수보술적림상효과.방법 회고성분석2005년1월～2006년12월해남성인민의원채용Millikan법수술치료적185례초발성복고구산환자적림상자료.결과 본조남184례,녀1례,평균년령위47세(32～75세),기중7례위쌍측산.일측산수술시간평균위49 min(30～70 min),술후주원시간평균위5.1 d(3～18 d),병발증발병솔위10.8%(20/185),수방24개월이상무복발.결론 Millikan법개량무장력산수보술시일충치료복고구산적안전유효적방식,병발증소、복발솔저.
Objective To summarize 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 in-guinal 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 hemioplasty is a safe and effective modality in the pri-mary inguinal hernia repair, and has fewer complications and lower recurrence rate.