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目的:探讨良性前列腺增生(benign prostatic hypertrophy,BPH)并重度痔疮的治疗方法及疗效。方法:36例中28例采用内痔外剥内扎术,5例采用内痔环形切除术,3例采用吻合器痔上粘膜环切术(procedure for prolapse and hemorrhoids,PPH),同期均行经尿道前列腺电切术(transurethral resection of prostate,TURP)联合经尿道前列腺汽化电切术(transurethral electrovapor-ization of the prostate,TUVP)。结果:所有手术均获成功,术中无膀胱穿孔,术中、术后无电切综合征发生,5~9d后拔除导尿管,排尿通畅,无肛门失禁、狭窄,大便通畅。结论:对BPH合并重度痔疮的患者,根据痔的严重程度,采用内痔外剥内扎术、内痔环形切除术及PPH,同期行TUVP联合TURP治疗BPH,能免除患者多次手术的痛苦,改善患者的生活质量,又可减少多次住院费用。
Objective: To investigate the treatment and efficacy of benign prostatic hypertrophy (BPH) and severe hemorrhoids. Methods: Totally 28 cases were treated with internal hemorrhoidectomy and internal ligation, 5 cases were treated with internal hemorrhoidectomy, 3 cases were treated with prolapse and hemorrhoids (PPH) stapling procedure, and transurethral prostatectomy Transurethral resection of the prostate (TURP) combined with transurethral electrovaporization of the prostate (TUVP). Results: All the operations were successful. There was no bladder perforation during operation. No intraoperative and postoperative electrosurgical syndrome occurred. The catheter was removed after 5 ~ 9 days. No urinary incontinence, stenosis and stool were smooth. Conclusion: According to the severity of hemorrhoids, BPH complicated with hemorrhoids, internal hemorrhoids and ligation, internal hemorrhoids and PPH, TUVP combined with TURP in the same period can relieve the pain of multiple operations and improve the patients The quality of life, but also reduce the cost of multiple hospitalizations.