CAJ | 학술논문

目的比较经尿道前列腺电切术(transurethral electroreception of prostate,TURP)与开放性手术治疗I I度以上良性前列腺增生症(benign prostatic hyperplasia,BPH)的疗效.方法选取2005~2011年邵阳市医学高等专科学校附属医院收治的82例I I度以上良性前列腺增生患者,其中45例采用TURP,37例采用传统开放手术,比较两组治疗效果及并发症发生情况.结果两组患者在术中出血量、膀胱冲洗时间、留置导尿时间、住院时间、住院费用、并发症的发生率比较,差异均有统计学意义(P<0.05),但在手术时间、术后IPPS评分方面比较,差异无统计学意义(P>0.05).结论开放性手术与TURP在改善术后排尿症状方面疗效相当,但TURP具有创伤小、恢复快、住院周期短、住院费用低、安全、并发症少等优点,值得临床推广.
목적비교경뇨도전렬선전절술(transurethral electroreception of prostate,TURP)여개방성수술치료I I도이상량성전렬선증생증(benign prostatic hyperplasia,BPH)적료효.방법선취2005~2011년소양시의학고등전과학교부속의원수치적82례I I도이상량성전렬선증생환자,기중45례채용TURP,37례채용전통개방수술,비교량조치료효과급병발증발생정황.결과량조환자재술중출혈량、방광충세시간、류치도뇨시간、주원시간、주원비용、병발증적발생솔비교,차이균유통계학의의(P<0.05),단재수술시간、술후IPPS평분방면비교,차이무통계학의의(P>0.05).결론개방성수술여TURP재개선술후배뇨증상방면료효상당,단TURP구유창상소、회복쾌、주원주기단、주원비용저、안전、병발증소등우점,치득림상추엄.
Objective To compare surgical efficiency between transurethral electroreception and open operation of benign prostatic hyperplasia. Methods Totally 82 patients with benign prostatic hyperplasia over three degree in our hospital from 2005 to 2011 were selected.45 patients were given TURP while 37 patients were given open operation.The clinical data of two groups were compared after the treatment.Results There were significant differences in blood loss,bladder washing time,catheterization time,hospitalization duration,hospitalization costs and the incidence of complications between two groups(P<0.05).But there was no significant difference in the operation time,IPPS score after surgery between two groups(P>0.05).Conclusion TURP for improving the urinary symptoms is as effective as open opration,but TURP has less trauma,faster recovery,shorter hospitalization period,lower hospitalization costs,more safety and less complications.