经尿道前列腺剜除电切术与传统经尿道前列腺电切术治疗大体积前列腺疗效比较
A comparison of clinical efficacy between transurethral electrovaporization of the prostate and transuerthral resection of prostate in the treatment of large volume benign prostatic hyperplasia
目的 比较经尿道前列腺电切术与经尿道前列腺剜除电切术治疗大体积前列腺增生患者的临床疗效和安全性.方法 选取我院接受电切手术治疗的106例大体积前列腺增生患者作为研究对象,实验组56例患者行经尿道前列腺电切剜除术,对照组50例患者行传统经尿道前列腺汽化电切术,比较两组患者的手术时间、平均住院日、住院费用、失血情况、电切综合征、切除组织重量、术后患者症状改善情况.结果 实验组和对照组组患者平均住院日分别为(12.13±0.94)d、(12.12±0.94) d(P>0.05),平均手术时间分别为(77.64±9.01) min、(85.20±10.74) min(P<0.05),切除组织数量分别为(82.6±20.3)g、(71.3±16.5) g(P <0.05),术前术后红细胞压积变化分别为(5.86±2.45)%、(11.67±4.46)%(P<0.05).实验组明显优于对照组.结论 经尿道前列腺剜除电切术治疗大体积前列腺增生有更加好的疗效和意义,手术更加安全,术后效果更加明显.
更多Objective To investigate the clinical efficacy and safety of transurethral resection of the prostate enucleation (TURPE) and transurethral electrovaporization of the prostate (TUEVP) in the treatment of large volume benign prostatic hyperplasia.Methods Of 106 patients with large volume benign prostatic hyperplasia,56 patients were treated by transurethral surgery (test group),and the rest 50 patients underwent transurethral enucleation resection of the prostate (control group).Operating time,average hospital stay (days),expenses,intraopertive blood loss,excised tissue weight,and postoperative improvement of symptoms were compared between two groups.Results The average length of hospital stay in test group and control group was (12.13 ±0.94) days and (12.12 ±0.94) days (P >0.05),the average operating time was (77.64 ±9.01) min and (85.20 ± 10.74) min (P <0.05),the resection of the number of organizations was (82.6 ± 20.3) g and (71.3 ± 16.5) g (P < 0.05),and the change in red cell pressure volume from preoperation to postoperation were (5.86 ± 2.45) % and (11.67 ± 4.46) % (P <0.05).Conclusion Transurethral enucleation resection of the prostate in treating large volumes of benign prostatic hyperplasia has more satisfactory effectiveness and higher safety.
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