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中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (02) : 180 -184. doi: 10.3877/cma.j.issn.1674-392X.2020.02.021

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临床论著

经尿道前列腺等离子剜除术合并无张力疝修补术对前列腺增生症并发腹股沟疝的应用效果研究
洪波1, 陈冬2,()   
  1. 1. 231500 合肥市,庐江县人民医院泌尿外科
    2. 230022 合肥市第三人民医院泌尿外科
  • 收稿日期:2019-12-28 出版日期:2020-04-18
  • 通信作者: 陈冬

Study on effect of transurethral prostatic plasma enucleation combined with tension-free herniorrhaphy on the treatment of prostatic hyperplasia complicated with inguinal hernia

Bo Hong1, Dong Chen2,()   

  1. 1. Department of Urology, Lujiang County People's Hospital, Lujiang 231500, China
    2. Department of Urology, the Third People's Hospital of Hefei, Hefei 230022, China
  • Received:2019-12-28 Published:2020-04-18
  • Corresponding author: Dong Chen
  • About author:
    Corresponding author: Chen Dong, Email:
引用本文:

洪波, 陈冬. 经尿道前列腺等离子剜除术合并无张力疝修补术对前列腺增生症并发腹股沟疝的应用效果研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2020, 14(02): 180-184.

Bo Hong, Dong Chen. Study on effect of transurethral prostatic plasma enucleation combined with tension-free herniorrhaphy on the treatment of prostatic hyperplasia complicated with inguinal hernia[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(02): 180-184.

目的

分析经尿道前列腺双极等离子剜除术(TBPKEP)合并无张力疝修补术对前列腺增生(BPH)并发腹股沟疝的应用效果。

方法

收集2017年7月至2019年5月庐江县人民医院泌尿外科就诊的BPH并发腹股沟疝患者40例。根据手术方法分为对照组和观察组,每组20例。对照组患者采用经尿道前列腺双极等离子电切术(TUPKVP)合并无张力疝修补术进行治疗;观察组患者采用TBPKEP合并无张力疝修补术进行治疗。记录2组患者手术时间、术中出血量、切除组织量、术后国际前列腺症状评分(IPSS)和生活质量指数评分(QOL)、最大尿流量(Qmax)、残余尿量(RUV)。并发症发生率以百分率(%)标示,采用χ2检验进行比较;计量单位均采用均数±标准差(±s)表示,组间比较和组内比较分别采用t检验和配对t检验。

结果

观察组手术时间(59.35±12.19)min短于对照组(72.24±15.34)min,差异有统计学意义(t=2.942,P<0.05);观察组术中出血量(174.22±56.14)ml均显著低于对照组(296.08±67.33)ml,切除组织量(48.25± 13.42)g显著高于对照组(29.28±10.61)g,差异有统计学意义(t=6.217、4.959,P<0.05)。术后2组IPSS和QOL评分均显著低于术前,差异有统计学意义(P<0.05);对照组显著高于观察组,差异有统计学意义(P<0.05)。术后,2组Qmax显著升高,RUV显著降低,差异有统计学意义(P<0.05)。其中,术后观察组Qmax显著高于对照组,RUV显著低于对照组,差异有统计学意义(P<0.05)。

结论

与TUPKVP合并无张力疝修补术相比,TBPKEP合并无张力疝修补术治疗BPH合并腹股沟疝能显著增大患者尿流量,降低患者残余尿量,改善患者前列腺症状及患者生活质量。

Objective

To analyze the effect of transurethral prostate bipolar plasma enucleation (TBPKEP) combined with tension-free herniorrhaphy in the treatment of benign prostatic hyperplasia (BPH) complicated with inguinal hernia.

Methods

Between July 2017 and May 2019, 40 patients with BPH complicated with inguinal hernia in Lujiang county people's hospital were divided into control group and observation group according to the surgical method, with 20 cases in each group. Patients in the control group were treated with TUPKVP combined with tension-free herniorrhaphy, while patients in the observation group were treated with TBPKEP combined with tension-free hernia repair. Operative time, intraoperative blood loss, tissue removal, and postoperative the score of international prostate symptom (IPSS), the score of quality of life (QOL), residual urine volume (RUV) and maximum urine flow rate (Qmax), were compared between the two groups.

Results

The operative time of the observation group was shorter than that of the control group (P<0.05). The amount of tissue excised was significantly higher than the control group (P<0.05), and the intraoperative blood loss in the control group was significantly higher than the observation group (P<0.05). After surgery, the scores of IPSS and QOL in the two groups were significantly lower than before surgery (P<0.05), and after surgery the scores of IPSS and QOL in the observation group were significantly lower than the control group (P<0.05). After surgery, RUV was significantly decreased and Qmax was significantly increased in both groups (P<0.05), and Qmax in the observation group was significantly higher than the control group (P<0.05), and RUV was significantly lower than the control group (P<0.05).

Conclusion

Compared with TUPKVP combined with tension-free herniorrhaphy, TBPKEP combined with tension-free herniorrhaphy for prostate hyperplasia combined with inguinal hernia can significantly increase urine flow, reduce residual urine volume, improve prostate symptoms and quality of life of patients.

表1 2组手术指标比较(±s
表2 2组国际前列腺症状评分和生活质量指数评分比较(分,±s
表3 2组最大尿流率和残尿量的比较(±s
表4 2组并发症发生情况的比较[例(%)]
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