同期手术治疗老年人前列腺增生合并腹股沟疝效果评价

Evaluation of concurrent operation for benign prostatic hyperplasia with inguinal hernia

目的：总结同期手术治疗老年人良性前列腺增生（BPH）合并腹股沟疝的临床效果。方法选择60～96岁老年BPH合并腹股沟疝患者53例，经尿道前列腺等离子电切术（TUREP）或开放手术治疗前列腺增生，同时采用巴德无张力修补腹股沟疝，一次性手术治疗BPH合并腹股沟疝，观察临床效果和安全性。结果53例均手术治愈，随访6个月至2年，无疝复发、手术切口感染及其他手术并发症。排尿状况明显改善。平均术后住院时间为7．6 d，住院费用为14863元。结论同期行TURP与腹股沟疝修补术，安全有效，可避免二次手术及麻醉的痛苦及风险，尤其对高龄患者具有积极意义。

Objective To summarize the operation period in the treatment of elderly patients with benign prostatic hyperplasia（BPH）clinical effect with inguinal hernia.Methods 60-96years old in elderly patients with BPH complicated with inguinal hernia in 53 cases,transurethral plasmakinetic resection of prostate （TUREP）or open operation for the treatment of benign prostatic hyperplasia,while using bard tension-free repair of inguinal hernia, disposable operation treatment of BPH complicated with inguinal hernia,the clinical effect and safety were observed. Results 53 cases were cured all operation,followed up for 6months to 2years,there were no recurrence of hernia operation,incision infection and other complications of operation.Micturition was apparent improvement.The average postoperative hospital stay was 7.6days,14 863 yuan for hospitalization.Conclusion It is safe and effective for sim-ultaneous TURP andinguinal hernia repair,which can avoid pain,and two times the risk of operation and anesthesia, especially has the positive significance in aged patients.