作者：郝建波 周岩冰 张劲峰 宋保连 罗波 刘鹏
【摘要】 目的观察经尿道前列腺等离子电切术(PKRP)联合无张力疝修补术同期治疗前列腺增生(BPH)并发腹股沟
疝的临床效果。方法60例BPH并发腹股沟疝病人，均在硬膜外麻醉下行腹股沟疝无张力疝修补术及PKRP。结果术后
最大尿流率(Qmax)均>15 mL/s,残余尿量<20 mL,国际前列腺症状评分(IPSS)<8分。发生尿道狭窄2例，无疝切口血
肿和感染、肺部感染、尿失禁等并发症。住院7～15 d，平均11 d。术后随访1～6年,无疝复发。结论PKRP+无张力
疝修补术治疗BPH并发腹股沟疝的效果肯定，病人恢复快，疝复发率低，避免了二次手术，同时可减轻病人的经济
负担，尤其适用于身体条件较好的老年病人。
【关键词】 前列腺增生;疝,腹股沟;经尿道前列腺切除术
[ABSTRACT]ObjectiveTo evaluate the clinical result of plasma kinetic vaporization of the prostate
(PKRP) for benign prostatic hyperplasia (BPH) and tension-free hernioplasty for inguinal hernia to
be performed at the same time.MethodsA simultaneous operation-PKRP and hernioplasty-was done in 60
patients with BPH concurrent inguinal hernia under epidural anesthesia.ResultsPostoperatively, the
Qmax in all patients was more than 15 mL/s, residual urine volume < 20 mL, and international
prostatic symptoms score (IPSS) <8. Urethral stricture recorded in two patients, no other
complications, such as hematoma or infection on incisions, pulmonary infection, or incontinence was
encountered. The average (range) hospital stay was 11 (7-15) days. No recurrence of hernia was found
during one to six years of postoperative follow-up.ConclusionPKRP and tension-free hernioplasty to
be done at the same time possess the following advantages as confirmed effectiveness, fast recovery,
low hernia recurrence, avoidance of the second operation, and low economical burden on patients,
which is particularly suitable for the senior with better health condition.
[KEY WORDS]prostatic hyperplasia; hernia, inguinal; transurethral resection of prostate
前列腺增生(BPH)是老年男性的常见病和多发病，排尿不畅、腹压增高易并发腹股沟疝。BPH病人中，腹股沟疝
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