摘要
目的探讨良性前列腺增生症(BPH)合并腹股沟疝同期行经尿道前列腺等离子双极电切术(PKRP)和疝环充填式无张力疝修补术的手术治疗安全性和效果。方法对36例良性前列腺增生症合并腹股沟疝同期行PKRP、疝环充填式无张力疝修补术和25例同期行传统的耻骨上经膀胱前列腺摘除术、疝修补术的两组临床资料进行对比分析。结果两组病例均顺利完成手术康复出院,但PKRP和疝环充填式无张力疝修补术在手术时间、术中出血量、术中输血率、术后留置尿管时间、术后住院天数、疝复发率等指标明显优于传统的耻骨上经膀胱前列腺摘除术和疝修补术(P<0.05)。结论 BPH合并腹股沟疝同期行PKRP和疝环充填式无张力疝修补术是安全有效的,且术中出血少、创伤小、手术时间短、术后恢复快、疝复发率低等,术前应充分评估并严格手术指征。
Objective To research the safety and effect of transurethral plasmakinetic resection （PKRP） and apphcatlon ol meshplug in tension-free hernia repair operation on benign prostatic hyperplasia （BPH） with inguinal hernia patient. Methods 36 patients of benign prostatic hyperplasia with inguinal hernia treated with PKRP and Plug-mesh tension-free hernia repair operation and 25 cases treated with concomitant conventional suprapubie prostatectomy and hernia repair operation. In the end, comparative analysis the clinical datas of two groups. Results Both two groups of patients all operated successfully and discharged completely, but the indexes of PKRP and Plug-mesh tension-free hernia repair operation in the operation time, bleeding during operation, intraoperative blood transfusion rates, postoperative indwelling catheter time, postoperative hospital stay, hernia recurrence rate and other indexes are obviously superior to the traditional suprapubic prostatectomy and hernia repair （P 〈 0.05）. Conclusion The patients of BPH complicated with inguinal hernia underwent PKRP and Plugmesh tension-free hernia repair operation is safe and effective, postoperative recovery, and hernia recurrence rate is low, but it eration indications. it is less bleeding, less trauma, short operation time, rapid should be preoperative evaluation sufficiently and strict op-eration indications.
出处
《中国现代医生》
2012年第13期156-158,共3页
China Modern Doctor
关键词
前列腺增生症
腹股沟疝
前列腺等离子双极电切术
疝环充填式无张力疝修补术
Prostatic hyperplasia
Inguinal hernia
Plasmakinetic resection of prostate
Hernia repair operation
Tensionfree hernia repair operation
