前列腺增生手术同期行疝环充填式无张力修补术临床分析

Clinical analysis of mesh-plug tension-free hernioplasty during prostatic hyperplasia surgery

目的研究分析前列腺增生手术同期进行疝环充填式无张力修补术的临床治疗方法和治疗效果,为其临床治疗提供理论依据。方法回顾性2009年1月-2012年1月期间,我院收治的52例前列腺增生合并腹股沟疝患者的临床资料。所有患者在行开放式的耻骨上经膀胱前列腺切除术治疗的同时,采用疝环充填式无张力修补术治疗。分析其治疗方法,并总结治疗效果。结果入选本组研究的病例均获得成功治疗,对所有患者进行为期半年-1年随访,所有患者中未出现疝复发和与手术相关的并发症,手术效果良好。结论对前列腺增生合并腹股沟疝患者行前列腺增生手术治疗的同时采用疝环充填式无张力修补术治疗,能够避免分期手术治疗的痛苦,减少患者的经济负担,提高患者的生活质量,是一种良好的治疗方式,值得临床推广。

Objective To analyze the treatment process and outcome of mesh-plug tension-free hernioplasty during prostatic hyperplasia surgery and to provide a theoretical basis for the clinical treatment. Methods A retrospective analysis was performed on the clinical data on 52 prostatic hyperplasia patients with inguinal hernia who were admitted to our hospital from January 2009 to January 2012. All the patients received mesh-plug tension-free hernioplasty daring open suprapubic transvesical prostatectomy. The treatment process was analyzed, and the treatment outcome was summarized. Results All the cases included in the study were treated successfully. The follow-up was 0.5-1 year for each patient. None of them experienced recurrence of hernia and postoperative complications, and good treatment outcome was achieved in them. Conclusion For the prostatic hyperplasia patients with inguinal hernia, prostatic hyperplasia surgery combined with mesh-plug tension-free hernioplasty can prevent the suffering caused by two separate operations, reduce the expenses for treatment, and improve quality of life. It is a good treatment and shows promise for clinical application.