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目的探讨经尿道前列腺电切术(TURP)治疗前列腺增生症(BPH)的临床疗效及优缺点。方法对62例前列腺增生症患者行TURP手术治疗的临床资料进行分析。结果本组病例的手术时间(53.8±21.2)min;术中出血量(397.4±142.7)ml、切除组织量平均(26.8±5.6)g、术后持续冲洗膀胱时间(36.2±5.2)h、留置尿管时间(5.2±1.1)d、住院时间(7.8±1.6)d、发生电切综合征2例(3.2%)、继发性出血7例(11.3%)。术后2个月IPSS、QOL、RUV和Qmax与术前比较差异有统计学意义(P<0.05)。结论 TURP治疗BPH创伤小、疗效好、恢复快、并发症少,是一种安全、理想的术式。
Objective To investigate the clinical efficacy and advantages and disadvantages of transurethral resection of prostate (TURP) for benign prostatic hyperplasia (BPH). Methods 62 cases of benign prostatic hyperplasia patients underwent TURP surgical treatment of clinical data were analyzed. Results The operation time (53.8 ± 21.2) min, intraoperative blood loss (397.4 ± 142.7) ml, the average number of resected tissue (26.8 ± 5.6) g and postoperative continuous bladder irrigation time (36.2 ± 5.2) h were Catheterization time was 5.2 ± 1.1 days, hospital stay was 7.8 ± 1.6 days, and electrosurgical syndrome occurred in 2 cases (3.2%) and secondary hemorrhage in 7 cases (11.3%). There were significant differences in IPSS, QOL, RUV and Qmax between preoperative and postoperative 2 months (P <0.05). Conclusion TURP treatment of BPH trauma, good curative effect, rapid recovery, fewer complications, is a safe and ideal surgical procedures.