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目的探讨同期行经尿道前列腺电切术(TURP)和无张力疝修补术治疗前列腺增生症合并腹股沟疝的临床疗效。方法对2012年10月至2013年12月良性前列腺增生合并腹股沟疝26例患者采用经尿道前列腺电切术的同时行无张力疝修补术,并对临床效果进行分析。结果 26例患者均手术成功,手术时间65~130 min,平均92 min。术中出血量较少,为30~150 ml,平均70 ml。住院时间7~9 d,切口愈合良好且无感染。随访6~36个月,26例患者均无疝复发,排尿通畅,无尿失禁或尿道狭窄等并发症发生。术后国际前列腺症状评分表(IPSS)评分均<7分。结论采用同期TURP和无张力疝修补术治疗前列腺增生合并腹股沟疝,避免了患者二次手术的痛苦,具有损伤小、并发症少等优点,疗效满意。
Objective To investigate the clinical efficacy of transurethral resection of the prostate (TURP) and tension-free hernia repair in the treatment of benign prostatic hyperplasia with inguinal hernia. Methods Twenty-six patients with benign prostatic hyperplasia (BPH) complicated with inguinal hernia underwent transurethral resection of the prostate with tension-free hernia repair from October 2012 to December 2013, and the clinical effect was analyzed. Results All the 26 patients were operated successfully. The operation time ranged from 65 to 130 minutes with an average of 92 minutes. Less blood loss during surgery, 30 ~ 150 ml, an average of 70 ml. Hospitalization 7 ~ 9 d, incision healed well without infection. All cases were followed up for 6 to 36 months. No recurrence of hernia was found in 26 patients, and the complications such as urinary incontinence or urethral stricture occurred. Postoperative International Prostate Symptom Score Scale (IPSS) score <7 points. Conclusions TURP and tension-free hernia repair for benign prostatic hyperplasia combined with inguinal hernia, to avoid the pain of secondary surgery in patients with small injury, fewer complications, the effect is satisfactory.