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目的初步探讨经尿道前列腺电切术同期实行网片无张力疝修补术治疗前列腺增生并腹股沟疝的可行性及效果。方法回顾性分析2006年至今共进行的30例经尿道前列腺电切术同期实行网片无张力疝修补术患者的临床资料。结果手术时间平均110 min,未发生电切综合征,术中术后均未输血,无因出血再次手术者,拔除导尿管后均排尿通畅,疝切口均愈合好,术后住院日7～9 d。术后随访4～20个月,无腹股沟疝复发,无尿失禁及尿道狭窄等并发症。结论我们认为经尿道前列腺电切术同期实行网片无张力疝修补术安全有效可行,其并发症与腹股沟疝和经尿道前列腺电切术比较未见增加,术后恢复好,是值得推广的手术方式。
Objective To investigate the feasibility and effect of transurethral resection of prostate for tension-free hernia repair in the treatment of benign prostatic hyperplasia and inguinal hernia. Methods The clinical data of 30 cases of transurethral resection of the prostate treated with mesh tension-free hernia repair in 2006 were analyzed retrospectively. Results The average operation time was 110 min. No electrical cutting syndrome occurred. No intraoperative and postoperative blood transfusion, no reoperation due to bleeding, urinary incontinence after removal of the catheter and hernia incision healed well. The postoperative hospital stay was 7 ~ 9 d. The patients were followed up for 4 to 20 months without recurrence of inguinal hernia, complications such as incontinence and urethral stricture. Conclusions We think that the transurethral resection of prostate resection with mesh tension-free hernia repair safe and effective, the complications and inguinal hernia and transurethral resection of the prostate compared to no increase in postoperative recovery is worthy of promotion of surgery the way.