三种前列腺电切术对老年前列腺癌致膀胱梗阻患者超敏C反应蛋白和肌钙蛋白Ⅰ的影响

Effect of TURP,TUVP and PKRP on Serum High Sensitivity C-Reactive Protein and Cardiac Troponin in Elderly Patients with Bladder Obstruction Caused by Prostatic Carcinoma

目的比较经尿道前列腺电切（TURP）、经尿道前列腺汽化电切（TUVP）、经尿道前列腺等离子电切（PKRP）对老年晚期前列腺癌致膀胱梗阻患者超敏C反应蛋白（hs-CRP）、心肌肌钙蛋白I（CTn-I）的影响。方法收集83例年龄〉65岁前列腺癌致膀胱梗阻患者的临床资料,按手术方式不同分为TURP组、TUVP组和PKRP组,术前详细采集相关临床资料及超敏C反应蛋白、心肌肌钙蛋白I,术后2~4 h复查。结果 TURP组晚期前列腺癌致膀胱梗阻患者超敏C反应蛋白、心肌肌钙蛋白I有不同程度的增高,TUVP组和PKRP组无改变。结论 TURP会对患者心脏造成损害,TUVP和PKRP则相对安全。

Objective Effect of TURP,TUVP and PKRP on serum high sensitivity C-reactive protein（hs-CRP） and cardiac troponin I（CTn-I） in elderly patients with bladder obstruction caused by prostatic carcinoma.Methods Clinical data of 83 patients over 65 were collected,and they were divided into TURP,TUVP and PKRP groups,hs-CRP and CTn-I were examined before and after operation.Results Hs-CRP and CTn-I increased in TURP group but not TUVP and PKRP.Conclusion TURP may do harm to patient’s cardiovascular system,but TUVP and PKRP are more safe.