老年人前列腺增生合并腹股沟疝的同期手术效果评价  

Evaluation of the therapeutic effects of benign prostatic hypertrophy with inguinal hernia in the elderly

作　　者：李天[1] 李逊[1] 袁坚[1] 曾国华[1] 单炽昌[1] 刘永达[1] 钟东亮[1] 赖维湛[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心泌尿外科,510230

出　　处：《中国医师进修杂志》2006年第12期6-8,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 评价70-89岁老年人前列腺增生合并腹股沟疝同期手术治疗的效果，总结临床经验。方法 回顾性分析32例70-89岁患者行经尿道前列腺切除术（TURP），同时行无张力疝修补术的临床资料和随访结果。结果 平均手术时间（85．0±12．8）min，平均术中出血（90．0±18．7）ml，术中、术后无死亡和危及生命的并发症发生。随访7—40个月，未见疝复发及尿失禁、尿道狭窄等并发症，国际前列腺症状评分（IPSS）、最大尿流率和残余尿量与术前比较，差异均有统计学意义。结论 70-89岁老年人同期施行TURP和无张力疝修补术是安全的，效果满意。Objective To evaluate the therapeutic effects and to summarize the clinical experience of benign prostatic hypertrophy（BPH） with inguinal hernia in the elderly 70 -89 years. Methods Clinical data of 32 patients 70 - 89 years old simultaneously undergone transurethral resection of prostate （TURP） and plug - mesh tension - free hernia repair from July 2000 to May 2005 were retrospectively analyzed and followed up. Results The average operating time was （85.0 ±12.8） minutes, the average blood loss was （90.0±18.7）ml. No postoperative death or life threatening complications were revealed. By 7 - 40 months of following up reported that there were no recurrence of hernia as well as no incontinence and urethral stenosis or other complications. IPSS, maximal flow rate and residual urine were evidently improved after operation. Conclusion Combined TURP and plug - mesh tension - free hernia repair is a safe and effective procedure for the elderly patients.

关 键 词：经尿道前列腺切除术 无张力疝修补术 前列腺增生 腹股沟疝 

分 类 号：R697.3[医药卫生—泌尿科学] R656.2[医药卫生—外科学]