前列腺增生合并膀胱结石、腹股沟斜疝患者一期手术的疗效分析与总结

To Summarize and Analysis the Curative Effect of One-stage Operation in Patients With Benign Prostatic Hyperplasia Combine With Cystolith, Oblique Inguinal Hernia

目的 总结与分析前列腺生合并膀胱结石、腹股沟斜疝患者一期手术疗效.方法 选取2010年6月～2015年6月我科接诊的前列腺增生合并膀胱结石、腹股沟斜疝患者25例为本次研究对象.其中20例行一期腹股沟斜疝无张力修补＋膀胱结石碎石＋前列腺电切术.对手术时间、术中出血量、术后膀胱冲洗及尿管拔出时间以及并发症发生情况加以分析.结果 所有行一期手术的前列腺增生合并膀胱结石、腹股沟斜疝患者均恢复良好.平均手术时间为（126.7±26.3）min,术中平均出血量为（123.2±37.9） ml,患者术后排尿情况改善,尿线加粗,无尿失禁,切口无感染,无斜疝复发,经B超复查未发现结石残留;术后出现血尿2例,术后出现低蛋白血症与下肢水肿3例,但经治疗后顺利出院.结论 对前列腺增生合并膀胱结石、腹股沟斜疝患者行一期手术临床疗效良好且无严重并发症,进而有效避免行分期手术而造成重复住院、检查、麻醉,减轻患者经济及精神负担.

Objective To summarize and analysis the curative effect of one-stage operation in patients with benign prostatic hyperplasia combine with cystolith.Methods Selected 25 cases of inguinal hernia patient from June 2010 to June 2015 in our department as study object. Selected 20 patients underwent an inguinal hernia tension-free repair added bladder stones gravel added transurethral resection of the prostate. For patients with operative time, blood loss, postoperative bladder catheter flushing and pull time and complications were analyzed.Results All rows a surgery for prostate hyperplasia and bladder stones, inguinal hernia patients recovered well. The average operative time was （126.7±26.3） minutes, mean intraoperative blood loss was （123.2±37.9） ml, patients improved significantly urination, urinary bold, no incontinence, no incision infection, hernia recurrence was not found by the B-review residual stones, two cases of postoperative patients with hematuria, hypoalbuminemia postoperative patients with lower extremity edema 3 cases, but was discharged after treatment.Conclusion Benign prostatic hyperplasia and bladder stones, inguinal hernia patients a good clinical effect and no serious complications of surgery, thus effectively avoid surgical staging lines caused by repeated hospitalization, examination, anesthetic, greatly reduce the financial and mental burden of patients.