| 摘要: |
| 目的 分析经尿道前列腺等离子剜除术和切除术治疗良性前列腺增生症(BPH)临床效果。方法 选取2013年4月—2016年4月该院收治的170例BPH患者,根据手术方式不同分为观察组(n=85)和对照组(n=85),对照组患者进行经尿道等离子前列腺电切术(TURP)治疗,观察组患者进行经尿道等离子前列腺剜除术(TUEP)治疗,观察分析两组患者的围术期各项指标情况、术后并发症情况以及远期疗效。结果 观察组患者膀胱冲洗时间、手术时间、导尿管留置时间、术中出血量、术后住院时间均低于对照组患者,腺体切除量高于对照组患者,组间各指标对比均有统计学差异(P＜0.05)；观察组并发症发生率为11.8%,对照组并发症发生率为7.1%,两组对比无统计学差异(P＞0.05)；术后90 d,两组患者Qmax、RUV、IPSS和QOL进行对比无统计差异(P＞0.05)。结论 对于BPH的治疗,TUEP比TURP具有手术时间短、术中出血量少、腺体切除更彻底等优势,且并发症并未显著增加,对患者有良好的经济效益,值得推广应用。 |
| 关键词: 经尿道等离子剜除术 经尿道等离子电切术 良性前列腺增生 效果 |
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| Comparison of transurethral plasma kinetic enucleation of prostate and resection for benign prostatic hyperplasia |
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李万全1,2,3
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1.People'2.'3.s Hospital of Tanghe County, Henan
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| Abstract: |
| Objective To analyze the clinical effect of transurethral plasma kinetic enucleation of prostate and resection for benign prostatic hyperplasia(BPH). Methods 170 cases of BPH patients in the hospital from April 2013 to April 2016 were divided into the observation group (n=85) and the control group (n=85) according to the different surgical methods. The patients in the control group were treated with TURP, and the patients in the observation group were treated with TUEP.The perioperative indicators, postoperative complications and long-term outcomes of the two groups were observed and analyzed. Results The time of bladder irrigation, the time of operation, the indwelling time of urethral catheter, the amount of bleeding and the time of hospitalization in the observation group were all lower than those of the control group, and the volume of glandular resection was higher than that of the control group, and there was a statistically significant difference between the groups (P<0.05). The incidence of complications in the observation group was 11.8%, and the complication rate in the control group was 7.1%. There was no significant difference between the two groups (P>0.05). After 90 days, there was no statistical difference in Qmax, RUV, IPSS and QOL between the two groups (P>0.05). Conclusion For the treatment of BPH, TUEP has the advantages of shorter operation time, less bleeding in the operation and more thorough resection of glands, and the complications have not increased significantly. It has good economic benefits for the patients and is worth popularizing. |
| Key words: TUEP TURP BPH Effect |
