前列腺增生合并腹股沟疝一期微创手术治疗95例报告  

One-stage Minimally Invasive Treatment of Benign Prostatic Hyperplasia Complicated with Inguinal Hernia: a Report of 95 Cases

作　　者：范海涛[1] 王伟华[2] 张慕淳[2] 王海英[3] 孔祥波[2] 王志新[2] 张明[1] 朱德淳[1] 

机构地区：[1]吉林大学第二医院泌尿外科,吉林长春130041 [2]吉林大学中日联谊医院泌尿外科,吉林长春130033 [3]农安县人民医院泌尿外科,吉林农安130200

出　　处：《医学临床研究》2008年第2期299-301,共3页Journal of Clinical Research

摘　　要：【目的】探讨良性前列腺增生（BPH）合并腹股沟疝的一期微创手术方法。【方法】2000年1月至2007年6月收治BPH合并腹股沟疝95例，均采用一期微创无张力疝修补术及经尿道等离子体双极电切（PKVP）治疗。【结果】无手术死亡、大出血、切口感染及经尿道电切综合征（TURS）等。术后住院5～9d，平均6d。随访3～24个月，平均9个月，无疝复发和切口感染。Qmax均大于15mL／s，IPSS2～11分，平均5．9分。【结论】一期微创治疗BPH合并腹股沟疝，是一种较好的选择，减少了病人痛苦，节约了医疗资源。[Objective] To investigate the method of one-stage treatment of benign prostatic hyperplasia （BPH） complicated with inguinal hernia. [Methods] Ninety five cases of BPH complicated with inguinal hernia were treated with transurethral plasmakinetic vaporization of prostate （PKVP） and one-stage tension-free repair of inguinal hernia from January 2000 to June 2007. [Results] There was no ease of death, large hemorrhage, infection of incision and transurethral resection syndrome（TURS）. The days in hospital after operation were 5 to 9 days. There was no case of relapse and infection with follow-up of 3 to 24 months. Qmax was more than 15 ml/s. International pilot study of schizophrenia （IPSS） was 2 to 11 scores. [Conclusion] One-stage treatment of BPH complicated with inguinal hernia is safe and minimally invasive. It can both reduce pain of patients and save medical resource.

关 键 词：前列腺增生/并发症 前列腺增生/外科学 疝 腹股沟/并发症 疝 腹股沟/外科学 

分 类 号：R697.3[医药卫生—泌尿科学]