[1]游猛,郑彬,陈岳,等.基层医院耻骨上经膀胱和经尿道切除大体积前列腺的比较[J].中华腔镜泌尿外科杂志(电子版),2018,12(02):94-97.[doi:10.3877/cma.j.issn.1674-3253.2018.02.007 ]
 You Meng,Zheng Bin,Chen Yue,et al.The comparison of efficacy of open and transurethral prostatectomy for treating big volume prostate in primary hospital[J].,2018,12(02):94-97.[doi:10.3877/cma.j.issn.1674-3253.2018.02.007 ]
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基层医院耻骨上经膀胱和经尿道切除大体积前列腺的比较()
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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:
12卷
期数:
2018年02期
页码:
94-97
栏目:
临床研究
出版日期:
2018-04-20

文章信息/Info

Title:
The comparison of efficacy of open and transurethral prostatectomy for treating big volume prostate in primary hospital
作者:
游猛1郑彬1陈岳1詹河涓1谢克基2欧汝彪1胡成3狄金明3
528000 广州,佛山市禅城区中心医院泌尿外科1;510000 广州市第一人民医院泌尿外科2;510630 广州,中山大学附属第三医院泌尿外科3
Author(s):
You Meng1 Zheng Bin1 Chen Yue1 Zhan Hejuan1 Xie Keji2 Ou Nvbiao2 Hu Cheng3 Di Jinming3.
1Department of Urology, Chancheng District Central Hospital, Foshan 528031, China; 2Guangzhou First Municipal People’s Hospital, Guangzhou 510180, China; 3Department of Urology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.
关键词:
大体积前列腺增生前列腺切除术安全性效果
DOI:
10.3877/cma.j.issn.1674-3253.2018.02.007
摘要:
目的比较基层医院耻骨上经膀胱前列腺切除术(TVP)和等离子经尿道前列腺电切术(PKRP)治疗大体积前列腺患者的安全性及疗效。方法将2009年6月至2012年5月在佛山市禅城区中心医院泌尿外科经尿动力学与超声检查诊断膀胱出口梗阻并前列腺体积 >80 ml的 80例患者将随机分为 TVP和 PKRP组,记录并比较所有患者术前、术后 3个月、12个月随访资料,包括国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、围手术期资料、术中情况、术后并发症情况等。结果80例入组患者中,69例完成 12个月的随访,两组患者在手术时间、手术前列腺切除重量差异无统计学意义,PKRP组出血量、留置尿管时间、膀胱冲洗时间、住院天数均显著优于 TVP组,术后随访3个月、12个月,两组患者IPSS、Qmax、QOL差异无统计学意义。结论TVP和 PKRP都可用于治疗前列腺体积 80ml以上前列腺增生患者,但 PKRP创伤更小、恢复更快,利于在基层医院临床推广。

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备注/Memo

备注/Memo:
基金项目:佛山市科技局医学类科技攻关项目(200908089)
通讯作者:狄金明,Email: 746379204@qq.com
更新日期/Last Update: 2018-04-20