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经尿道前列腺增生腺瘤切除术与经膀胱前列腺增生腺瘤切除术的手术层面观察比较
引用本文:陈向东,王忠,齐隽.经尿道前列腺增生腺瘤切除术与经膀胱前列腺增生腺瘤切除术的手术层面观察比较[J].临床泌尿外科杂志,2010,25(1):35-37.
作者姓名:陈向东  王忠  齐隽
作者单位:1. 上海市静安区中心医院泌尿外科,上海,200040
2. 上海交通大学医学院第九人民医院泌尿外科
3. 上海交通大学医学院附属新华医院泌尿外科
基金项目:上海市卫生局申康医院发展中心"上海市BPH社区综合预防防止规模式的探索与推广"项目 
摘    要:目的:了解在BPH手术治疗中,经尿道前列腺增生腺瘤切除术(TUEB)与经膀胱前列腺增生腺瘤切除术(SPP)是否在同一手术层面即外科包膜层面进行。方法:TUEB组532例,SPP组8例。先行SPP切除腺瘤后插入电切镜观察切除后的创面并与TUEB术创面录像进行比较。结果:SPP组8例SPP手术创面观察与TUEB具有相同特征。统计学处理SPP观察项目均值为(34.19±0.37),与TUEB组比较,两样本t检验结果:t=6.177,P〈0.001。结论:在本研究中,TUEB术与SPP术在同一手术层面即外科包膜内侧面进行。

关 键 词:良性前列腺增生症  前列腺外科包膜  等离子体外科系统  经尿道前列腺切除术  耻骨上前列腺增生腺瘤切除术

Observation of the Operative Lay in TUEB and SPP
Xiangdong CHEN,Zhong WANG,Jun QI.Observation of the Operative Lay in TUEB and SPP[J].Journal of Clinical Urology,2010,25(1):35-37.
Authors:Xiangdong CHEN  Zhong WANG  Jun QI
Institution:1Department of Urology, Jingan District Central Hospital, Shanghai, 200040, China;Department of Urology, the 9th People's Hospital of Jiaotong Universty ;3Department of Urology, the Affiliated Xinhua Hospital of J iaotong University)
Abstract:Objective:To realize whether it was on the same operative lay to perform transurethral enucleation of prostate with PKS(TUEB) and super-pubic prostateetomy (SPP) in the treating BPH. Methods:There were 532 eases of TUEB and 8 cases of SPP in the studying group. In SPP group, Firstly SPP was performed, after the adenoma was enucleated out, then the operative lay was observed by applying resectoscope and compared with that of TUEB. Results:In the studying group, we found that there were the same appearance of the wound on the operative lay in SPP and TUEB. The result of paired sample t-test was that of mean and SD of SPP group(x±s) 34.19±0.37, t=6. 177, P〈0. 001. Conclusions:In our studying group of BPH, SPP and TUEB were performed on the same operative lay. That is the inner aspect of the surgical capsule.
Keywords:BPH  surgical capsule  Plasma-Kinetics system  transurethral enucleation of prostate with bipolar  super-pubic prostatectomy
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