开放手术与经尿道电切术治疗高原地区良性前列腺增生的临床研究

Clinical study of open operation and transurethral electroreception of prostate for benign prostatic hyperplasia on plateau

目的研究开放手术与经尿道电切术治疗高原地区良性前列腺增生的临床特点,为临床诊疗提供参考。方法选取2003年至2010年12月期间在我科诊疗的62例良性前列腺增生患者,按照随机数字方法分成2组,每组31例,分别为开放手术组与电切手术组,治疗后留院观察与随访,分析两组患者的相关临床资料。结果两组患者在住院时间、术中出血、留置导尿时间、膀胱冲洗时间方面均具有统计学差异(P<0.05),但在手术时间方面没有统计学差异(P>0.05)。术前和术后两组患者在最大尿流率与残余尿方面均无统计学差异(P>0.05)。与术前相比较,两组患者术后的最大尿流率与残余尿均有显著性改善(P<0.05)。两组患者的并发症总发生率具有统计学差异(P<0.05)。结论与开放手术相比较,经尿道前列腺电切术治疗良性前列腺增生疗效更好好,具有恢复快、住院周期短、创伤小、安全、并发症少等优点。

Objective To investigate the clinical characteristics of open operation and transurethral electroreception of prostate（TURP） for benign prostatic hyperplasia.Methods Totally 62 patients with benign prostatic hyperplasia in our department from 2003 to November 2010 were selected and randomly divided into the open operation group（n=31） and TURP group（n=31）.The clinical data of the two groups were compared after the treatment.Results These were significant differences in hospital duration,blood loss,catheterization time and bladder washing time between the two groups（P0.05）,but these was no significant difference in the operation time between the two groups（P0.05） as well as in maximum flow rate and residual urine between the two groups before and after surgery（P0.05）.Postoperative maximum urinary flow rate and residual urine were significantly improved compared with those preoperatively（P0.05）.Meanwhile,there were significant differences in the overall complication rate between the two groups（P0.05）.Conclusion Compared with open opration,transurethral electroreception of prostate for benign prostatic hyperplasia has better effects,faster recovery,shorter hospitalization period,less trauma,more safety and less complications.