两种前列腺电切术治疗良性前列腺增生的临床效果对比研究.docVIP

两种前列腺电切术治疗良性前列腺增生的临床效果对比研究 　　[摘要] 目的 ?Ρ妊芯?PTUVP与TURP治疗良性前列腺增生的临床效果。方法 研究组方便选择2014年1月―2016年6月在该院泌尿外科治疗的78例前列腺增生患者，实施该院改进的PTUVP；对照组为76例同期在该院实施TURP的患者，将两组手术时间、切除组织重、术中出血量、冲洗液量、留置尿管时间、平均住院时间、并发症发生率和术后随访效果进行对比研究。 结果 TURP和PTUVP在平均手术时间分别为（65.2±9.9）min和（55.9±11.3）min、术中出血量分别为（196.9±33.6）mL和（130.2±18.6）mL，平均住院时间分别为（7.9±0.9）d和（4.2±0.7）d，差异有统计学意义（P0.05）。 结论 TURP与PTUVP治疗良性前列腺增生的临床效果接近，但是PTUVP治疗安全性更高，患者经济负担小，并发症发生率更低，值得推广。 　　[关键词] 良性前列腺增生症；经尿道前列腺汽化电切术；改进经尿道前列腺汽化电切术 　　[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0093-04 　　Comparative Research on Clinical Effect of Two Turbs in Treatment of Benign Prostatic Hyperplasia 　　YANG Yu， CHEN Rui-yong， LI Li， LI Yong-lin， YANG Shao-wen， ZHOU Yong-xing 　　Department of Urinary Surgery， Luxi People’s Hospital of Honghe， Luxi， Yunnan Province， 652400 China 　　[Abstract] Objective To comparatively research the clinical effect ofPTUVP and TURP in treatment of benign prostatic hyperplasia. Methods Convenient selection 78 cases of patients with prostatic hyperplasia treated in our hospital from January 2014 to June 2016 were selected and were given the improved PTUVP， and 76 cases in the control group adopted the TURP， and the operative time， intraoperative bleeding amount， flushing liquor， urinary canal indwelling time， average length of stay， incidence rate of complications and postoperative follow-up effect were compared and researched. Results The differences in the average operative time， intraoperative bleeding amount and average length of stay between the TURP group and PTUVP group had statistical significance[65.2±9.9）min vs（55.9±11.3）min， （196.9±33.6）mL vs （130.2±18.6）mL， （7.9±0.9）d vs（4.2±0.7）d]，（P0.05）. Conclusion The clinical effect of TURP and PTUVP in treatment of benign prostatic hyperplasia is similar， but the treatment safety of PTUVP is higher， and the economic burden of patients is small， and the incidence rate of complications is lower， which is worth promotion. 　　[Key words] Benign prostatic hyperplasia； TUVP；