经尿道前列腺电切除术与耻骨后保留尿道前列腺摘除术的护理比较

Nursing comparison of transurethral resection of prostate and prostatectomy with preservation of urethra

目的比较经尿道前列腺电切除术(TURP)与耻骨后保留尿道前列腺摘除术(Madigan)的护理,提高前列腺增生患者围术期的护理质量。方法将264例前列腺体积大于80 mL的患者随机分为两组。A组162例,采用TURP。B组102例采用Madigan手术方法。比较两组手术时间、膀胱冲洗时间、留置导尿管时间、膀胱痉挛发生率、术后住院时间、手术前后国际前列腺症状评分(IPSS)评分、尿流率、残余尿等情况。结果两组手术时间、术后导尿管留置时间、膀胱冲洗时间、术后膀胱痉挛发生率、术后最大尿流率及手术时间有统计学差异。两组住院时间I、PSS评分、残余尿无统计学差异。结论 Madigan是理想的开放手术方法,术后患者易护理。

Objective To compare the nursing of patients with benign prostatic hyperplasia （BPH）undergoing transurethral resection of prostate or prostatectomy with preservation of urethra （Madigan）. Methods Transurethral resection of prostate was performed in 162 patients of BPH （group A）and Madigan prostateetomy was carried out in 102 patients （group B）. Variables such as operation time, the mean volume of irrigating fluid used, catheterization duration, length of stay, preoperative and postoperative IPSS, Qmax, urodynamic parameters were assessed. Results Significant difference was found in catheterzation duration, the mean volume of irrigating fluid used, antegratde ejaculation, Qmax, and operation time. There were no significant differences in length of stay, preoperative and postoperative IPSS and urodynamic parameters. Conclusion The Madigan prostatectomy is believed to be an ideal open method. Patients are easy to be nursed after surgery.