经尿道前列腺电切术治疗前列腺增生60例体会
http://www.100md.com
2010年4月1日
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【摘要】:目的:通过分析前列腺增生临床常用的治疗方法,比较经尿道前列腺电切术(TURP)和传统的开放手术治疗前列腺增生症的临床效果。方法:对60例前列腺增生症(BPH)患者行TURP手术治疗,对60例实施传统的开放手术。结果:电切术组病例的平均手术时间(51.0±23.6)min,术中输血0～700ml。术后持续膀胱冲洗2～3d,留置导尿管5～7d,无真性尿失禁。传统开放手术组的平均手术时间(65.0±31.6)min,术中输血300～1500mL,3例发生真性尿失禁。结论:TURP治疗前列腺增生具有出血少、恢复快、疗效佳、治愈率高等优点,是治疗BPH患者的首选方法。
【关键词】:前列腺增生;经尿道前列腺电切;治疗
【中图分类号】R697+32【文献标识码】A【文章编号】1007-8517(2010)08-020-2
【Abstract】:Objective:To summarize the experience of transurethral resection of prostate in recent nine yeam.Through analysising methods of treatment of benign prostatic hyperplasia commonly used to compare the clinical effects of transurethral resection of prostate and traditional open surgical treatment. Methods:60 cases of benign prostatic hyperplasia (BPH) were treated with TURP surgery, 60 patients were treated with traditional open surgery. Results:In the group of TURP,the mean operative time was(51.0±23.6)min.Intraoperative blood transfusion was 0~700m1.Postoperative continuous irrigation of bladder was 2~3 days.The mean indewelling catheter time was 5~7 days,and there was no true urinary incontinence after operation. In the group of traditional open surgical treatment, the mean operative time was(65.0±31.6)min. Intraoperative blood transfusion was 300~1500m1, and there were 3 cases of true urinary incontinence after operation. Conclusion:TURP possesses less bleeding,quick recovery,and good efficacy etc advantages.It is a first choice for the treatment of BPH.
【Key words】:Benign prostate hyperplasia;Transurethral resection of prostate;Treatmen
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