Millikan术式与Bassini术式临床疗效对比研究

Comparison of treatments for Millikan and Bassini operations

目的对比分析Millikan无张力腹股沟疝修补术与Bassini疝修补手术在治疗腹股沟疝中的临床疗效。方法将2006年4月至2012年4月云南省鹤庆县人民医院收治的腹股沟疝患者80例,随机分为二组,每组40例,采用医用聚丙烯修补网片进行Millikan无张力疝修补术和Bassini疝修补手术治疗。结果手术平均时间50min,平均住院时间8.5d。Millikan组切口感染1例,阴囊水肿2例,疼痛4例,无肺部感染患者,总并发症发生率17.5%;Bassini组切口感染1例,阴囊水肿3例,疼痛15例,肺部感染2例,总并发症发生率65%,二组间并发症发生率比较差异有统计学意义(χ2=10.84,P=0.03)。随访1～5年,Millikan组未见复发,Bassini组复发5例。二组患者治疗期间均无死亡患者。结论 Millikan术式是治疗腹股沟疝的有效术式,具有手术操作易于掌握、创伤小、恢复快、复发率低、明显改善患者术后生活质量的特点,值得在基层医院推广。

Objective To compare the efficacy of Millikan tension-free inguinal hernia repair with the cassini hernia repair in the treatment of inguinal hernia. Methods A total of 80 cases （ each for 40 pa- tients） from the Yunan Heqing People~ Hospital between April 2006 and April 2012 ,were treated with surgi- cal therapies with medical polypropylene patch in Millikan tension-free hernia repair and Bassini hernia re- pair. Results The mean of operation time was 50 mins and the mean of length of hospitalization was 8.5 days. There were one case of incision infection ,2 cases of scrotal edemas, and 4 cases of pain in the Bassini group. No lung infection was observed. The overall incidence of complications was 17.5%. One incision infec- tion,3 cases of scrotal edemas, 14 cases of pain, and 2 cases of lung infection were observed in the Bassini group. The overall incidence of complications was 65% with statistical significant difference compared with the Millikan group （Xz = 10.84, P = 0.03 ）. In the 1 to 5 year follow-ups, no recurrence was found in the Millikan group and there were 5 cases of recurrence. No death was in both treatments. Conclusions Millikan therapy is effective for treatment of inguinal hernia, which is easy for practice with low incision, rapid recovery,low recurrence rate and can significantly improve patientstluality of life and be applicable for practice in the primary hospitals.