经尿道电切术治疗110例膀胱及前列腺疾病的体会

目的探讨经尿道电切术治疗膀胱或前列腺疾病的化疗效果,旨在提高该病的治疗效果。方法本研究选择2009年1月～2010年12月来住院的膀胱或前列腺疾病患者220例作为研究对象,按照就诊顺序将所有研究对象随机分为两组,经尿道电切术组和开腹组。对两组的手术情况及临床疗效进行分析。结果两组在手术时间、出血量、排气时间、住院天数之间均存在差异,且差异具有统计学意义(P<0.01)。治疗后两组的IPSS、最大残余尿和最大尿流率均有较大改善,而两组间的比较结果显示,两组在上述指标间差异无统计学意义。结论经尿道电切术治疗膀胱颈梗阻具有术中出血少,患者康复快,无并发症等众多优点,值得在膀胱及前列腺疾病治疗中推广应用。

Objective To evaluate transurethral resection of bladder or prostate disease,sub-chemotherapy,aimed at improving the treatment of the disease.Methods Select January 2009～December 2010 to hospitalized in our department of 220 patients with bladder or prostate as the research object,according to the order of treatment all subjects were randomly divided into two groups,transurethral resection group and the laparotomy group.Operation between the two groups and clinical efficacy analysis.Results between the two groups in operative time,blood loss,exhaust time,postoperative morbidity,hospital stay there are differences between,and the difference was statistically significant （P0.01）.After treatment,the IPSS,maximum urinary flow rate residual urine and maximum greatly improve the comparison between the two groups showed differences between the two groups in these indicators were not significant.Conclusion Transurethral resection of bladder neck obstruction with less blood loss,faster rehabilitation of patients with no complications and many advantages,it is worth in the treatment of bladder and prostate disease application.