同期手术治疗前列腺增生合并腹股沟疝的效果评价*

Simultaneous surgical treatment of benign prostatic hyperplasia with inguinal hernia*

摘要:

探讨经尿道前列腺增生等离子电切术（PKURP）联合腹腔镜全腹膜外腹股沟疝修补术（TEP）同期治疗良性前列腺增生（BPH）合并腹股沟疝的临床效果。方法 回顾分析在该院接受手术治疗的59例BPH合并腹股沟疝患者临床资料，其中接受先行PKURP再次行TEP分期手术患者（对照组）28例；接受行同期行PKURP联合TEP手术患者（观察组）31例，对比两组手术时间、出血量、手术成功率、术后并发症及复发率情况。结果 两组PKURP和TEP的手术时间及手术成功率比较，差异无统计学意义（P >0.05）；观察组术中出血量较对照组明显减少，总住院时间、总体费用均明显低于对照组，差异均有统计学意义（均P <0.05）；两组术后并发症比较差异无统计学意义（P >0.05）。结论 PKURP联合TEP同期治疗BPH合并腹股沟疝安全有效，且能够减少患者出血量，节省医疗费用，同时避免二次手术和麻醉的创伤及痛苦，尤其对老年及手术耐受差患者具有积极意义。

Abstract:

Abstract: Objective To investigate the clinical effect of transurethral resection of prostate (BPH) with plasmakinetic resection of prostate (PKURP) combined with laparoscopic total extraperitoneal inguinal hernia repair (TEP) in the treatment of benign prostatic hyperplasia (BPH) with inguinal hernia. Methods Retrospective analysis of surgery in our hospital in 59 cases of BPH with clinical data of patients with inguinal hernia, which received a first PKURP again for TEP staging surgery patients (control group) 28 cases; accept patients underwent PKURP surgery combined with TEP (observation group) 31 cases, compared two groups of operation time, bleeding volume, operation success rate, rate of postoperative complications and recurrence. Results The operation time and the operation of two groups of TEP and PKURP success rate comparison, the difference was not statistically significant (P > 0.05); the amount of bleeding in the observation group was significantly lower than that in the control group, and the total hospitalization time and total cost were significantly shorter than those in the control group, the difference was statistically significant (P < 0.05); no statistical significance two the postoperative complications of group differences (P > 0.05). Conclusion PKURP combined with TEP is safe and effective in the treatment of BPH with the same period of inguinal hernia, and can reduce the bleeding, reduce medical costs, and avoid the trauma and pain two surgery and anesthesia, especially has positive significance for the elderly and patients with poor surgical tolerance.