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2种方法治疗良性前列腺增生并电切镜进镜困难患者的比较 被引量:2

Clinical Comparative Study of Two Methods Treating Benign Prostatic Hyperplasia in Putting Resectoscope Difficulty
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摘要 目的:比较2种方法在治疗良性前列腺增生(BPH)行经尿道前列腺等离子电切术中电切镜置入困难患者的临床疗效。方法:选择2007年9月至2014年1月曲靖市第二人民医院泌尿外科收治的BPH患者行经尿道前列腺等离子电切术中发现电切镜进镜困难患者90例,随机分成观察组和对照组,每组45例。观察组采用去除外鞘电切术联合耻骨上膀胱微穿刺负压引流治疗,对照组采用扩张尿道和(或)尿道外口剖开,再置入电切镜行电切术治疗。结果:2组手术均取得成功,平均手术时间、出血量无显著性差异(P>0.05),观察组术后平均住院时间、继发尿道狭窄的发生率均小于对照组(分别为P<0.05、P<0.01)。结论:去除外鞘电切术联合耻骨上膀胱微穿刺负压引流在治疗BPH并电切镜进镜困难患者可降低术后继发尿道狭窄发生率,减少术后住院时间,临床疗效较好。 Objective: To compare with the Clinical efficacy of two methods on treating benign prostatic hyperplasia in puttting Resectoscope difficulty. Methods: There were 90 cases of benign prostatic hyperplasia in putting resectoscope difficulty from september 2007 to January 2014, and 45 cases in each group. The difference of two group in age and prostate volume size and putting resectoscope difficult degree was no significant ( P 〉 0. 05 ). Observation Group adopted resectoscope and its sheath removed as well as suprapubic punctured micro suction drainage treatment. Control group adopted urethral dilated or external urethra orifice slited and transurethral resection of the mirror. Results:Both groups were successful. In treatment group the postoperative hospital stay and the incidence of postoperative urethral stricture was less than in the control group. The difference was statistically significant( P 〉 0. 05 ). The mean operative time and average amount of bleeding was no significant difference in both grops ( P 〉 0. 05 ). Conclusion : Resectoscope and its sheath removed as well as suprapubic punctured micro suction drainage in treatment of benign prostatic hyperplasia in putting resectoscope difficulty can reduce postoperative urethral stricture and postoperative hospital stay, and have a good clinical efficacy.
出处 《现代临床医学》 2015年第3期177-178,共2页 Journal of Modern Clinical Medicine
关键词 进镜困难 去除外鞘 膀胱微穿刺 负压引流 电切术 继发尿道狭窄 hard into the mirror cystoscope sheath removal micro - bladder puncture suction drainage TURP urethral stricture secondary
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