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经尿道前列腺剜除术与电切术的疗效比较
引用本文:阿力木江·吐拉洪. 经尿道前列腺剜除术与电切术的疗效比较[J]. 现代预防医学, 2011, 38(8): 1576-1577,1579
作者姓名:阿力木江·吐拉洪
作者单位:新疆维吾尔自治区人民医院泌尿外一科,乌鲁木齐,830000
摘    要:
[目的]应用经尿道前列腺剜除术(TERP)治疗前列腺增生,并同时与应用经尿道前列腺电切术(Transurethral resection of the prostate,TURP)治疗前列腺增的疗效作比较。[方法]64例BPH患者根据入院先后顺序随机分为观察组(经尿道前列腺剜除术,TERP)和对照组(经尿道前列腺电切术,TURP)两组,每组32例,观察比较两组的手术时间、术中出血量、腺体切除量、导尿管留置时间、术后住院时间;并发症:低血钠、尿失禁、继发出血及尿道狭窄;国际前列腺症状IPSS、生活质量评分QOL、最大尿流率Qmax、膀胱残余尿PUV。[结果]观察组患者手术所用时间、术中出血量少、腺体切除量、导尿管留置时间、术后住院时间均明显少于对照组(P﹤0.05)。对照组发生低血钠的发生率(37.5%)明显高于观察组(9.34%)(P﹤0.05)。两组术后IPSS、QOL、Qmax、PUV均较术前IPSS、QOL、Qmax、PUV明显改善(P﹤0.05),但两组间比较差异无统计学意义。[结论]与应用经尿道前列腺电切术比较,经尿道前列腺剜除术治疗BPH具有手术时间短,术中出血少,术后并发症少等优点,值得广泛推广和应用。

关 键 词:前列腺增生症(BPH)  经尿道前列腺剜除术(TERP)  经尿道前列腺电切术(TURP)

COMPARATIVE EFFICACY OF TRANSURETHRAL ENUCLEATION AND TRANSURETHRAL RESECTION FOR PROSTATE
A Limujiang·Tulahong. COMPARATIVE EFFICACY OF TRANSURETHRAL ENUCLEATION AND TRANSURETHRAL RESECTION FOR PROSTATE[J]. Modern Preventive Medicine, 2011, 38(8): 1576-1577,1579
Authors:A Limujiang·Tulahong
Affiliation:A Limujiang·Tulahong.(Department of Urology Surgery,Xinjiang Uygur Autonomous Region People's Hospital,Urumqi 830000,China)
Abstract:
[Objective]To apply transurethral enucleation(TERP)for benign prostatic hyperplasia,and compare the efficacy of transurethral resection(Transurethral resection of the prostate,TURP)for prostate.[Methods]64 patients with BPH were randomly divided into experimental group(transurethral enucleation,TERP)and control group(transurethral resection of the prostate,TURP)according to the admission order,and each group had 32 patients.Then we observed the operative time,blood loss,the amount of gland removed,catheteri...
Keywords:Benign prostatic hyperplasia(BPH)  Transurethral enucleation(TERP)  Transurethral resection of prostate(TURP)  
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