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目的:探讨经尿道前列腺电切术联合腹股沟疝修补术治疗前列腺增生症合并腹股沟疝的临床效果。方法:采用回顾性分析的方法,分析我院泌尿外科收治前列腺增生症合并腹股沟疝患者200例的临床资料。结果:前列腺电切时间45~110(75.2±5.8)min,切除前列腺组织15~65(36.7±7.8)g。病理报告均为良性前列腺增生;疝手术时间30~65 min。患者住院时间8~15(12.1±1.8)d。无手术死亡病例。其中21例TURP手术时间不超过1 h。术后留置24F三腔气囊导尿管,生理盐水持续膀胱冲洗3 d。手术后5~6 d拔除导尿管,恢复自行排尿。术后随访6~12个月,排尿通畅,无尿失禁,疝无复发。结论:经尿道前列腺电切和无张力疝修补手术结合起来,同期治疗前列腺增生症合并腹股沟疝,取得了满意的治疗效果,值得临床推广使用。
Objective: To investigate the clinical effect of transurethral resection of prostate combined with inguinal hernia repair for benign prostatic hyperplasia with inguinal hernia. Methods: A retrospective analysis of the method used in our hospital urology surgical treatment of benign prostatic hyperplasia with inguinal hernia in 200 cases of clinical data. Results: The prostatic resection time was 45 ~ 110 (75.2 ± 5.8) min, and the prostatic tissue was removed by 15 ~ 65 (36.7 ± 7.8) g. Pathological reports are benign prostatic hyperplasia; hernia surgery time 30 ~ 65 min. Patients hospitalized for 8 to 15 (12.1 ± 1.8) d. No surgical deaths. 21 cases of TURP operation time does not exceed 1 h. Postoperative indwelling 24F three-chamber balloon catheter, saline continued bladder irrigation 3 d. 5 to 6 days after surgery to remove the catheter, urinary self-recovery. Follow-up 6 to 12 months after operation, urination, urinary incontinence, hernia no recurrence. Conclusion: Transurethral electrosurgery and tension-free hernia repair surgery combined with the treatment of benign prostatic hyperplasia with inguinal hernia, and achieved satisfactory results, worthy of clinical promotion and use.