[1]江东,黄兴,麦蕾,等.两种5α-还原酶抑制剂对经尿道前列腺等离子切除术出血量的影响[J].中华腔镜泌尿外科杂志(电子版),2017,11(03):199-202.[doi:10.3877/cma.j.issn.1674-3253.2017.03.014 ]
 Jiang Dong,Huang Xing,Mai lei,et al.The effect on blood loss of transurethral plasmakinetic resection of prostate by using two type of 5 alpha-reductase inhibitors[J].,2017,11(03):199-202.[doi:10.3877/cma.j.issn.1674-3253.2017.03.014 ]
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两种5α-还原酶抑制剂对经尿道前列腺等离子切除术出血量的影响()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年03期
页码:
199-202
栏目:
临床研究
出版日期:
2017-06-30

文章信息/Info

Title:
The effect on blood loss of transurethral plasmakinetic resection of prostate by using two type of 5 alpha-reductase inhibitors
作者:
江东黄兴麦蕾郭惠学张荣凯
519000 珠海,中山大学附属第五医院泌尿外科
Author(s):
Jiang Dong Huang Xing Mai lei Guo Huixue Zhang Rongkai.
Department of Urology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
关键词:
度他雄胺 非那雄胺 前列腺增生 前列腺切除术
DOI:
10.3877/cma.j.issn.1674-3253.2017.03.014
摘要:
目的 探讨围手术期口服度他雄胺及非那雄胺对行经尿道前列腺等离子切除术的良性前列腺增生患者术中术后出血量的影响。方法 本研究将确诊的60 例前列腺增生患者随机分成A、B 两组。A 组术前及术后均口服度他雄胺1 周,每日1 次,每次0.5 mg;B 组术前及术后均口服非那雄胺1 周,每日1 次,每次10 mg。患者均经同一手术组医师使用等离子电切镜进行手术。对两组患者用药1 周后前列腺体积、最大血流速度变化及两组患者平均切除每克前列腺的术中出血量、手术时间、术中术后膀胱冲洗液量、镜下血尿时间进行比较。结果 两组患者术前用药1 周后前列腺体积变化均无统计学意义(P>0.05),A 组用药1 周后最大血流速度下降有统计学意义(P<0.05),B 组用药1 周后最大血流速度下降无统计学意义(P>0.05)。A 组和B 组在平均切除每克前列腺的术中出血量、手术时间、术中术后膀胱冲洗液量差异无统计学意义(P>0.05),A 组镜下血尿时间短于B 组,差异有统计学意义(P<0.05)。结论 围手术期应用度他雄胺及非那雄胺均可减少前列腺增生患者术中及术后的出血量,度他雄胺术前起效更快且术后镜下血尿时间更短。

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备注/Memo

备注/Memo:
基金项目:珠海市科技计划项目(项目编号:20161027E030030)
通讯作者:张荣凯,Emai:kaican@163.com
更新日期/Last Update: 2017-06-25