摘要
目的探析中老年前列腺增生合并腹股沟疝患者采取一期经尿道等离子双极电切术联合平片式无张力疝修补术进行治疗的效果。方法将安庆市第一人民医院2018年6月至2020年6月收治的60例中老年前列腺增生合并腹股沟疝患者按照随机分组的原则以对照组(30例,先经尿道等离子双极电切术后平片式无张力疝修补术治疗)、观察组(30例,一期经尿道等离子双极电切术联合平片式无张力疝),对比2组患者手术费用、术后住院时间、术中出血量、手术时间、尿流动力学、国际前列腺症状评分(IPSS)、并发症及复发率。结果观察组的手术费用、术中出血量明显少于对照组患者(P<0.05);观察组术后住院时间明显短于对照组患者(P<0.05);观察组RUV、膀胱顺应性高于对照组患者(P<0.05);观察组Qmax、最大逼尿肌压低于对照组(P<0.05);观察组的并发症发生率、疾病复发率明显低于对照组患者(P<0.05)。结论中老年前列腺增生合并腹股沟疝患者采取一期经尿道等离子双极电切术联合平片式无张力疝修补术进行治疗能够获得较为理想的效果,能加快患者疾病康复速度,促使患者的治疗预后明显改善,有着极大的推广价值。
Objective To explore the effect of one-stage transurethral plasmakinetic resection combined with tension-free hernioplasty in the treatment of middle-aged and elderly patients with benign prostatic hyperplasia and inguinal hernia.Methods From June 2018 to June 2020,60 cases of middle-aged and elderly patients with benign prostatic hyperplasia combined with inguinal hernia were randomly divided into control group(n=30,first transurethral plasmakinetic resection followed by flat mesh tension-free hernia repair)and observation group(n=30,one-stage transurethral plasmakinetic resection combined with flat mesh tension-free hernia).Operation cost,postoperative hospital stay,intraoperative blood loss,operation time,urodynamics,International Prostate Symptom Score(IPSS),complications and recurrence rate were compared between the two groups.Results The operation cost and intraoperative blood loss of the observation group were significantly less than those of the control group(P<0.05);the postoperative hospitalization time of the observation group was significantly shorter than that of the control group(P<0.05);the RUV and bladder compliance of the observation group were higher than those of the control group(P<0.05);the Qmax and the maximum detrusor pressure in the observation group were lower than those in the control group(P<0.05);the incidence of complications and disease recurrence rate in the observation group were significantly lower than those in the control group(P<0.05).Conclusion One stage transurethral plasmakinetic resection combined with tension-free hernioplasty for the treatment of middle-aged and elderly patients with benign prostatic hyperplasia and inguinal hernia can obtain ideal effect,accelerate the recovery speed of patients,and promote the prognosis of patients,and it has great promotion value.
作者
郭志文
蒋方
Guo Zhiwen;Jiang Fang(Department of Urology Surgery,Anqing First People's Hospital,Anqing 246000,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2021年第4期386-389,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
前列腺增生
中老年
经尿道等离子双极电切术
平片式无张力疝修补术
治疗效果
Hernia,inguinal
Benign prostatic hyperplasia
Middle-aged and elderly
Transurethral plasmakinetic resection
Flat mesh tension-free hernia repair
Therapeutic effect
