经尿道前列腺剜除术与电切术临床疗效观察.docVIP

经尿道前列腺剜除术与电切术的临床疗效观察 　　[摘要] 目的 探讨经尿道前列腺剜除术与电切术的疗效。方法 整群选取该院2015年6月―2016年1月收治前列腺增生患者136例，随机平均分为对照组和观察组，各68例。对照组行经尿道前列腺电切术，观察组行经尿道前列腺剜除术。记录两组患者术前及术后相关指标并比较。结果 观察组术中平均出血量为87.28 mL，手术时间平均约46 min，术后膀胱冲洗时间25.7 h，术后住院5.7 d，均较对照组少，切除前列腺组织重量平均79.24 g，大于对照组，组间差异具有统计学意义。结论 经尿道前列腺剜除术比电切术出血少，恢复快，值得进一步推广 [关键词] 经尿道前列腺剜除术；经尿道前列腺电切术；前列腺增生 [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）06（a）-0076-02 [Abstract] Objective To explore the efficacy oftransurethral enucleation and transurethral resection of the prostate. Methods Group selection a total of 136 patients from June 2015 to January 2016 with benign prostatic hyperplasia were randomly divided into control group and observation group， each group had 68 patients. To observe the difference of the efficacy， the control group was treated with transurethral resection of the prostate and the observation group was treated with transurethral enucleation of the prostate. Recorded two sets of patients before and after the relevant indicators and compared them. Results The average amount of intraoperative blood loss， operation time， postoperative washing time and postoperative hospital stay of the observation group was 87.28 mL， 46 min， 25.7 h and 5.7 d， respectively， which were less than the control group. The weight of resected prostate tissue of the observation group was 79.24 g， larger than the control group. The difference between groups was statistically significant. Conclusion Compare to transurethral resection of the prostate， transurethral enucleation is better for its low blood loss and quick recovery. [Key words] Transurethral enucleation of the prostate； Transurethral resection of the prostate； Benign prostatic hyperplasia 前列腺增生是一种中老年男性高发的排尿障碍疾病，发病率随着年龄增大而升高[1]。经尿道前列腺电切术是目前主要的手术治疗手段，但有手术时间长、切除不彻底、易复发、电切综合症等显著缺点。经尿道前列腺剜除术作为新兴的前列腺增生腔内微创治疗技术应运而生[2]。为观察两种方法的治疗效果，对2015年6月―2016年1月收治采用不同手术方法治疗的136例患者进行统计，现报道如下 1 资料与方法 1.1 一般资料 整群选取2015年6月―2016年1月该院收治前列腺增生患者136例作为研究对象，年龄60～86岁，平均年龄68.7岁，病程1～8年。临床表现为尿急、尿频、尿线细、夜尿次数多等。两组患