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开放前列腺切除术与经尿道前列腺电切术治疗大体积前列腺增生安全性的Meta分析
引用本文:陈晖,汤平,欧汝彪,邓向荣,谢克基. 开放前列腺切除术与经尿道前列腺电切术治疗大体积前列腺增生安全性的Meta分析[J]. 实用医学杂志, 2012, 0(11): 1800-1802
作者姓名:陈晖  汤平  欧汝彪  邓向荣  谢克基
作者单位:南方医科大学研究生院;广东省工伤康复中心泌尿外科;广州医学院附属广州市第一人民医院泌尿外科
基金项目:广东省科技计划项目(编号:2008B030301004)
摘    要:目的:比较经尿道前列腺切除术(transurethral resection of theprostate,TURP)和开放前列腺切除术(open prostatectomy,OP)治疗大体积良性前列腺增生(benign prostatic hyperplasia,BPH)的安全性。方法:检索Medline、Embase、CochraneLibrary中有关TURP和OP治疗大体积BPH的文献。Revman5.0进行Meta分析。结果:纳入文献6篇。TURP术中输血、术后尿道狭窄、再手术发生率均高于OP。结论:治疗大体积BPH,TURP较OP术中出血多,术后尿道狭窄、二次手术发生率高。

关 键 词:经尿道前列腺切除术  开放前列腺切除术  大体积前列腺  疗效安全性  Meta分析

Meta-analysis of transurethral resection of the prostate versus open prostatectomy for benign prostatic hyperplasia with large volume prostate
CHEN Hui , TANG Ping, OU Ru-biao, DENG Xiang-rong, XIE Ke-ji. Meta-analysis of transurethral resection of the prostate versus open prostatectomy for benign prostatic hyperplasia with large volume prostate[J]. The Journal of Practical Medicine, 2012, 0(11): 1800-1802
Authors:CHEN Hui    TANG Ping   OU Ru-biao   DENG Xiang-rong   XIE Ke-ji
Affiliation:. The Southern Medical University, Guangzhou 510515, China.
Abstract:Objective To compare transurethral resection of the prostate(TURP) with open prostatectomy(OP) for benign prostatic hyperplasia with large volume in safety. Methods The literature was searched by Medline, Embase, and the Cochrane Library. Meta-analysis was performed using Review Manager 5.0. Results TURP was singnificantly more often associated with transfusion requirement, higher rate of urethral stricture and reintervention. Conclusions OP was safer than TURP for less transfusion requirement, urethral stricture and reintervention.
Keywords:Transurethral resection of prostate  Open prostatectomy  Large volume prostate  Curative effect  Safety  Meta-analysis
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