标题：前列腺电切同期行无张力腹股沟疝修补术60例

      作者：刘明明，柴浩林，刘建平    府谷县医院综合外科，陕西 榆林 719499

      卷次： 2020年31卷11期

      【摘要】 目的 探讨前列腺电切同期行无张力腹股沟疝修补术治疗良性前列腺增生(BPH)合并腹股沟疝的临床疗效。方法 选择府谷县医院于2015年1月至2019年1月期间收治的120例BPH合并腹股沟疝患者为研究对象，根据随机数表法将患者分为观察组和对照组各60例，所有患者均接受经尿道前列腺电切术(TURP)和无张力疝修补术治疗，观察组患者同期手术，对照组患者则分期手术。比较两组患者的围手术期指标(包括术中出血量、前列腺切除重量、手术时间)、住院时间、治疗费用以及并发症发生情况；术前及术后3个月(对照组为无张力疝修补术后3个月)比较两组患者的国际前列腺症状评分(IPSS)、生活质量评分(QOL)和最大尿流率(Qmax)。结果 观察组患者术中出血量为(143.41±28.38) mL，明显少于对照组的(179.17±25.09) mL，住院时间为(7.24±2.18) d，明显短于对照组的(12.38±3.75) d，住院费用为(1.45±0.28)万元，明显少于对照组的(1.97±0.72)万元，差异均有统计学意义(P<0.05)；两组患者前列腺切除质量、TURP手术时间及疝修补时间、术后并发症发生率比较，差异均无统计学意义(P>0.05)；与术前比较，术后3个月两组患者的QOL评分、Qmax均升高明显，IPSS评分均明显降低，差异均有统计学意义(P<0.05)，但两组间比较，差异均无统计学意义(P>0.05)。结论 前列腺电切同期行无张力腹股沟疝修补术具有较高的安全性和有效性，且创伤较小、患者住院花费明显减少。
      【关键词】 良性前列腺增生；同期；经尿道前列腺电切术；无张力疝修补术；并发症
      【中图分类号】 R656.2+1 【文献标识码】 A 【文章编号】 1003—6350（2020）11—1422—03

Concurrent tension-free inguinal hernia repair and transurethral resection of the prostate: a report of 60 cases.LIU Ming-ming, CHAI Hao-lin, LIU Jian-ping.
Department of General Surgery, Fugu County Hospital, Yulin 719499,Shaanxi, CHINA
【Abstract】 Objective To investigate the combined clinical effect of transurethral resection of the prostate(TURP) and tension-free inguinal hernia repair in the treatment of benign prostatic hyperplasia (BPH) combined with in-guinal hernia. Methods A total of 120 patients with BPH and inguinal hernia, who treated in Fugu County Hospitalfrom January 2015 to January 2019, were selected and divided into two groups according to random number table meth-od, with 60 patients in each group. All patients received TURP and tension-free hernioplasty treatment. The observationgroup was operated both operations at the same time, and the control group was operated by stages. The perioperative in-dexes of the two groups were compared, including intraoperative bleeding volume, weight of prostatectomy, operationtime, hospitalization time and cost, and the occurrence of complications. The International Prostate Symptom Scale (IP-SS) and Quality of Life Scale (QOL) were performed before and 3 months after operation (control group was 3 monthsafter tension-free hernioplasty), and the maximum urinary flow rate (Qmax) was measured. Results The blood volume ofthe observation group was (143.41±28.38) mL, which was significantly less than (179.17±25.09) mL in the control group(P<0.05); the length of hospitalization was (7.24±2.18) days, which was significantly shorter than (12.38±3.75) days in thecontrol group (P<0.05); the hospitalization cost was (1.45±0.28)×104 yuan, which was less than (1.97±0.72)×104 yuanin the control group (P<0.05). There was of no significant difference in TURP operation time, hernia repair time and in-cidence of complications between the two groups (all P>0.05); QOL score and Qmax increased significantly and IPSSscore decreased significantly in the two groups 3 months after operation (all P<0.05); but there was no significant dif-ference between the observation group and the control group in these indexes (all P>0.05). Conclusion Concurrenttransurethral resection of prostate and tension-free inguinal hernia repair is safe and effective, with less trauma and lesshospitalization cost.
      【Key words】 Benign prostatic hyperplasia (BPH); Concurrent; Transurethral resection of prostate (TURP); Ten-sion-free inguinal hernia repair; Complications