经尿道前列腺切除术联合无张力疝修补术治疗前列腺增生合并腹股沟疝患者的临床效果

Clinical effect of TURP combined with tension-free herniorrhaphy in the treatment of prostatic hyperplasia with inguinal hernia

目的探究经尿道前列腺切除术(TURP)联合无张力疝修补术治疗前列腺增生合并腹股沟疝的临床效果。方法选取2014年1月至2018年1月,芜湖市第一人民医院收治的前列腺增生合并腹股沟疝150例患者的临床资料,随机分为联合组(75例)和分期组(75例)。分期组分期行TURP联合无张力疝修补术,而联合组同期行TURP联合无张力疝修补术。比较2组患者的手术指标、住院指标、并发症及术后随访指标。结果联合组的术中出血量、住院时间及住院费用低于分期组,差异有统计学意义(P<0.05);2组患者前列腺切除质量、无张力疝手术时间及TURP手术时间比较,差异无统计学意义(P>0.05);术后2组患者的并发症发生情况、最大尿流速(Qmax)、残余尿量及国际前列腺症状评分(IPSS)比较,差异无统计学意义(P>0.05)。结论TURP联合无张力疝修补术对前列腺增生合并腹股沟疝治疗效果良好,可以有效减少术中出血量,帮助患者早日康复,降低治疗负担。

Objective To explore the clinical effect of transurethral resection of prostate (TURP) combined with tension-free herniorrhaphy in the treatment of prostatic hyperplasia with inguinal hernia. Methods 150 patients with prostatic hyperplasia complicated with inguinal hernia were randomly divided into the combined group (75 cases) and the staging group (75 cases). TURP and tension-free hernioplasty was performed in the staging group by stages, while TURP combined with tension-free hernia repair was performed in the combined group at the first operation. The indexes of operation, hospitalization indexs, complications and postoperative follow-up were compared between the two groups. Results The amount of intraoperative bleeding, hospital stays and hospital cost in the combined group were significantly lower than those in the control group (P<0.05). There was no significant difference in the quality of prostatectomy between the two groups (P>0.05). There was no significant difference in the operative time of tension-free hernia and TURP operation between the two groups (P>0.05). The incidence of complications and the maximum urinary velocity of (Qmax), were not significantly different between the two groups (P>0.05). There was no significant difference in residual urine volume and international prostate symptom score (IPSS)(P>0.05). Conclusion TURP combined with tension-free hernioplasty is effective in the treatment of prostatic hyperplasia with inguinal hernia. It can effectively reduce intraoperative bleeding, help patients recover early and reduce the burden of treatment. It has clinical application value.