[1]游猛 吴杰英 陈岳 郑彬 詹河涓 狄金明.耻骨上前列腺切除与经尿道前列腺电切治疗大体积前列腺增生的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(03):203-206.[doi:10.3877/cma.j.issn.1674-3253.2015.03.011 ]
　You Meng,Wu Jieying,Chen Yue,et al.Comparison of efficacy and safety of transvesical prostatectomy and transurethral resection of the prostate for large hypelplasia of prostate[J].,2015,(03):203-206.[doi:10.3877/cma.j.issn.1674-3253.2015.03.011 ]
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耻骨上前列腺切除与经尿道前列腺电切治疗大体积前列腺增生的比较()
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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:
期数:
2015年03期
页码:
203-206
栏目:
临床研究
出版日期:
2015-12-29

文章信息/Info

Title:
Comparison of efficacy and safety of transvesical prostatectomy and transurethral resection of the prostate for large hypelplasia of prostate
作者:
游猛 1吴杰英 2陈岳 1郑彬 1詹河涓 1狄金明 2
528031 广东，佛山禅城区中心医院泌尿外科1；510630 广州，中山大学附属第三医院泌尿外科2
Author(s):
You Meng1;  Wu Jieying2;  Chen Yue1;  Zheng Bin1;  Zhan Hejuan1 ;  Di Jinming2.
Department of Urology, Central Hospital of Foshan Chancheng District, Foshan 528000(,)China; 2Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630, China
关键词:
大体积; 前列腺增生; 切除术; 安全性; 疗效; 比较
DOI:
10.3877/cma.j.issn.1674-3253.2015.03.011
摘要:
目的比较耻骨上经膀胱前列腺切除术（ TVP）与经尿道前列腺电切术（ TURP）治疗体积 >80 ml前列腺增生的安全性及疗效。方法 156例经尿动力学确诊的膀胱出口梗阻和前列腺体积 >80 ml的患者，随机分至 TVP组和 TURP组。记录每例患者的围手术期指标及术后 1年的随访指标，予以对比分析。所有患者的术后并发症均予记录。结果 156例患者入选并参加该研究，其中 153例患者完成 12个月的随访。TVP组在留置尿管时间、膀胱冲洗时间较 TURP组长，差异有统计学意义（ P<0.05）； TVP组在手术时间上比 TURP组短，差异有统计学意义（ P<0.05）； TVP组在腺体切除重量上明显高于 TURP组，差异有统计学意义（ P<0.001），两组患者术中出血量无统计学差异（ P>0.05）。术后随访指标中，TVP组在国际前列腺症状评分（ IPSS）、生活质量评分（ QOL）、最大尿流率（ Qmax）、膀胱残余尿量（ PVR）上均优于经尿道前列腺切除术组。结论对于大体积（＞80 ml）前列腺增生，耻骨上经膀胱前列腺切除术较经尿道前列腺切除术更有效及安全。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：2014 省自然基金项目（2014A030313180）
通讯作者：狄金明，Email：746379204@qq.com
更新日期/Last Update: 1900-01-01