同期施行经尿道前列腺汽化电切术及无张力疝修补术29例临床分析

The Clinical Analysis of 29 Cases of Transurethral Electrovaporization of the Prostate with Strainless Repair of Inguinal Hernia

目的:探讨良性前列腺增生症(BPH)合并腹股沟疝的一次性手术的方法和效果。方法:先行疝环填充式无张力疝修补术,同期再行经尿道前列腺汽化切除术(TUVP),一次性手术治疗BPH合并腹股沟疝病人29例。结果:手术过程顺利,术后恢复快。29例均获随访,时间为1-40个月,无疝复发;术后国际前列腺症状评分(IPSS)<8 分,最大尿流率(MFR)>15 mL/s。结论:同期行TUVP及无张力疝修补术治疗BPH合并腹股沟疝,操作简单、安全可靠、疗效肯定,可避免二次麻醉、二次手术的痛苦、风险以及经济负担。

Objective： To explore the surgical method and clinical efficacy of benign prostatic hyperplasia （BPH） with inguinal hernia. Methods： 29 cases of BPH with inguinal hernia were treated by strain less repair of inguinal hernia with transurethral electro vaporization of the prostate. Results： All patients had been followed up for one - forty months. The course of operation was smooth; IPSS was less than 8 scores after operation ,and MRF more than 15mL/s; No hernia recurrence occurred. Conclusions： Strain less repair of inguinal hernia with TUVP at the same time is a simple and effective method which can avoid second operation. It is more significant for the elderly patient.