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目的探讨绿激光前列腺气化术同期联合无张力疝修补术治疗良性前列腺增生合并腹股沟疝的安全性及有效性。方法对13例良性前列腺增生合并腹股沟疝患者,先行无张力性腹股沟疝修补术,后行经尿道绿激光前列腺气化术,观察手术疗效及并发症。结果手术均顺利,无输血及死亡病例,术后国际前列腺症状评分、生活质量评分、最大尿流率、残余尿量均较术前显著改善,无手术切口感染,随访3～15个月无复发疝发生。结论同期行经尿道绿激光前列腺气化术和无张力疝修补术临床疗效良好,患者具有良好的耐受性,避免了二次手术,减轻了患者经济负担,可作为老年良性前列腺增生合并腹股沟疝患者的较佳选择。
Objective To investigate the safety and efficacy of green laser prostatectomy combined with tension-free hernia repair for benign prostatic hyperplasia with inguinal hernia. Methods Thirteen patients with benign prostatic hyperplasia (BPH) complicated with inguinal hernia were treated with tension-free inguinal hernia repair and transurethral vaporization of the prostate with green laser to observe the curative effect and complications. Results All the cases were successfully operated without any transfusion and death. Postoperative International Prostate Symptom Score, Quality of Life Score, Maximum Urine Flow Rate and Residual Urine Excretion were significantly improved compared with that before operation. There was no surgical incision infection and no recurrence after 3-15 months follow-up Hernia occurs. Conclusions The clinical efficacy of transurethral vapor laser prostatectomy and tension-free herniorrhaphy during the same period is good. The patients are well tolerated, avoiding secondary surgery and reducing the economic burden of patients. It can be used as a treatment for elderly patients with benign prostatic hyperplasia and inguinal hernia The better choice.