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[目的]探讨简易膀胱造瘘术在行经尿道前列腺电切术(TURP)中的使用效果及意义。[方法]选择行TURP治疗的良性前列腺增生症(BPH)患者l23例,随机分为两组,造瘘组在行TURP的同时行简易膀胱造瘘术,术毕当即拔除造瘘管,非造瘘组常规行TURP术。比较分析两组术前病情资料,及手术中、术后各项指标。[结果]两组手术均取得成功,膀胱穿刺造瘘均无穿刺孔出血、冲洗液外渗、拔管后漏尿、切口感染等并发症发生。与非造瘘组相比,造瘘组的手术时间短、出血量少,前列腺电切综合征(TURS)及TURS先兆发生率、手术结束时的血清钠值及血红蛋白值低,差异有统计学意义(P﹤0.05)。两组切除的前列腺碎片组织重量、包膜穿孔情况、膀胱冲洗时间、留置尿管时间、术后住院时间及手术过程费用差异无统计学意义(P﹥0.05)。[结论]TURP术中应用简易膀胱穿刺造瘘提高了手术效率,扩大了其手术适应证,可以作为常规使用,值得推广应用。
[Objective] To investigate the effect and significance of simple cystostomy in transurethral resection of prostate (TURP). [Methods] Twenty patients with benign prostatic hyperplasia (BPH) treated with TURP were randomly divided into two groups. Troupe was treated with simple bladder ostomy simultaneously with TURP. The fistula was removed immediately after operation, Group conventional TURP surgery. Comparative analysis of two groups of preoperative condition information, and surgery, postoperative indicators. [Result] All the operations were successful in both groups. There was no bleeding in puncture of bladder puncture, extravasation of irrigating solution, leakage of urine after extubation, incision infection and other complications. Compared with the non-fistula group, the operation time of the fistula group was short, the amount of bleeding was less, the incidence of TURS and TURS aura, the serum sodium and hemoglobin at the end of surgery were lower, the difference was statistically significant Significance (P <0.05). There were no significant differences in the weight of the resected prostate tissue, perforation of the perforation, bladder irrigation time, indwelling catheter time, length of postoperative hospital stay and operation cost (P> 0.05). [Conclusion] The application of simple bladder puncture and fistula in TURP improves the operative efficiency and expands the indications of its operation, which can be used as routine and is worth popularizing and applying.