中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
13期
74-75,76
,共3页
前列腺增生%膀胱结石%经尿道双极等离子前列腺剜除%耻骨上小切口
前列腺增生%膀胱結石%經尿道雙極等離子前列腺剜除%恥骨上小切口
전렬선증생%방광결석%경뇨도쌍겁등리자전렬선완제%치골상소절구
Prostate hyperplasia%Bladder calculi%Transurethral plasmakinetic enucleation of the prostate%Suprapubic incision
目的：探讨对高危高龄前列腺增生（BPH）合并膀胱结石患者行经尿道双极等离子前列腺剜除（TUPKEP）和耻骨上小切口联合治疗的安全性及有效性。方法：选取本院2011年5月-2013年5月收治的BPH合并膀胱结石患者60例进行研究。按随机数字表法将患者分为观察组和对照组，比较两组的术中及术后情况。结果：观察组的术中出血量显著少于对照组，并发症发生率显著低于对照组，手术时间、膀胱冲洗时间、留置尿管时间、住院时间均显著短于对照组，差异均有统计学意义（P<0.05）。术后3个月，观察组MFR、残余尿量、IPSS、梗阻、QOL评分改善程度较对照组显著，差异均有统计学意义（P<0.05）。结论：TUPKEP联合耻骨上小切口的方式治疗高危高龄前列腺增生（BPH）合并膀胱结石患者，安全性较高，且疗效显著，值得临床推广应用。
目的：探討對高危高齡前列腺增生（BPH）閤併膀胱結石患者行經尿道雙極等離子前列腺剜除（TUPKEP）和恥骨上小切口聯閤治療的安全性及有效性。方法：選取本院2011年5月-2013年5月收治的BPH閤併膀胱結石患者60例進行研究。按隨機數字錶法將患者分為觀察組和對照組，比較兩組的術中及術後情況。結果：觀察組的術中齣血量顯著少于對照組，併髮癥髮生率顯著低于對照組，手術時間、膀胱遲洗時間、留置尿管時間、住院時間均顯著短于對照組，差異均有統計學意義（P<0.05）。術後3箇月，觀察組MFR、殘餘尿量、IPSS、梗阻、QOL評分改善程度較對照組顯著，差異均有統計學意義（P<0.05）。結論：TUPKEP聯閤恥骨上小切口的方式治療高危高齡前列腺增生（BPH）閤併膀胱結石患者，安全性較高，且療效顯著，值得臨床推廣應用。
목적：탐토대고위고령전렬선증생（BPH）합병방광결석환자행경뇨도쌍겁등리자전렬선완제（TUPKEP）화치골상소절구연합치료적안전성급유효성。방법：선취본원2011년5월-2013년5월수치적BPH합병방광결석환자60례진행연구。안수궤수자표법장환자분위관찰조화대조조，비교량조적술중급술후정황。결과：관찰조적술중출혈량현저소우대조조，병발증발생솔현저저우대조조，수술시간、방광충세시간、류치뇨관시간、주원시간균현저단우대조조，차이균유통계학의의（P<0.05）。술후3개월，관찰조MFR、잔여뇨량、IPSS、경조、QOL평분개선정도교대조조현저，차이균유통계학의의（P<0.05）。결론：TUPKEP연합치골상소절구적방식치료고위고령전렬선증생（BPH）합병방광결석환자，안전성교고，차료효현저，치득림상추엄응용。
Objective: To explore the safety and efficacy of transurethral plasmakinetic enucleation of the prostate (TUPKEP) and combination therapy of suprapubic incision for high-risk patients with benign prostatic hyperplasia (BPH) combine bladder calculi transurethral.Method: 60 high-risk patients with BPH combine bladder calculi transurethral in our hospital from May 2011 to May 2013 were selected. the patients were divided into observation group and control group according to random number table method, the intraoperative and postoperative conditions of two groups were compared.Result: The amount of bleeding of the observation group was significantly less than that of the control group, the complication rate was significantly lower than that of the control group, the operation time, bladder irrigation time, indwelling catheter time, hospitalization time were significantly shorter than that of the control group, the difference were statistically significant (P<0.05).Conclusion: Use of TUPKEP combined with suprapubic incision approach for treatment of high risk BPH patients complicated with bladder stones, high safety, and significant effect, worthy of clinical application.
