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不同微创手术治疗的大体积前列腺增生的效果观察 被引量:2

Observation of the Effect of Large Volume Prostate Hyperplasia Treated by Different Minimally Invasive Surgery
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摘要 目的观察大体积前列腺增生实施不同微创手术治疗的效果。方法选取2017年1月—2019年11月收治的大体积前列腺增生患者216例,随机数字表法分为观察组和对照组,各108例,对照组采取经尿道前列腺电切术(TURP),观察组实施经尿道前列腺剜除电切术,对比两组手术指标、术后恢复情况、并发症、生活质量。结果观察组尿管置留时间、住院时间、冲洗膀胱时间、并发症发生率、术中出血量、残留尿量、iPSS评分均少于对照组,观察组前列腺切除量、最大尿流率均高于对照组,差异具有统计学意义(P<0.05)。结论TURR和前列腺剜除电切术在大体积前列腺增生治疗中,后者的治疗效果更佳良好,可有效改善手术指标和术后恢复指标,降低并发症,减少患者康复时间,提升患者生活质量。 Objective To observe the effect of different minimally invasive surgical treatments for large-volume benign prostatic hyperplasia.Methods 216 patients with large benign prostatic hyperplasia treated from January 2017 to November 2019 were selected.The random number table method was divided into observation group and control group with 108 cases each.The control group received transurethral prostatectomy(TURP).The observation group underwent transurethral resection of the prostate,and the surgical indicators,postoperative recovery,complications,and quality of life were compared between the two groups.Results The urinary retention time,hospital stay,bladder flushing time,complication rate,intraoperative blood loss,residual urine volume,and iPSS score in the observation group were less than those in the control group.The prostate resection volume and maximum urine flow rate in the observation group were all smaller.Compared with the control group,the comparison was statistically significant(P<0.05).Conclusion TURR and prostatic resection in the treatment of large-volume benign prostatic hyperplasia,the latter has a better treatment effect,which can effectively improve the surgical indicators and postoperative recovery indicators,reduce complications,reduce the recovery time of patients,and improve the lives of patients quality.
作者 王帆 WANG Fan(Urology Surgery Department,The First People's Hospital of Yidu City,Yidu Hubei 443300,China)
出处 《中国卫生标准管理》 2020年第14期89-91,共3页 China Health Standard Management
关键词 大体积前列腺增生 经尿道前列腺剜除电切术 经尿道前列腺电切术 并发症 生活质量 最大尿流率 住院时间 残留尿量 massive prostate hyperplasia transurethral resection of the prostate complications quality of life maximum urinary flow rate length of hospital stay residual urine volume
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