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目的 采用前瞻性方法调查 2种前列腺增生症手术方法与医院感染的关系。方法 应用非条件Logistic回归模型。按照传统式耻骨上经膀胱前列腺摘除术和经尿道前列腺电汽化术 (TUVP)组进行分析。结果 医院感染与手术方式、手术持续时间、导尿管留置时间、伤口引流时间、切口长度、手术者有关。所有这些因素均与耻骨上经膀胱前列腺摘除术组关系更明显。耻骨上经膀胱前列腺摘除术组的医院感染率 ( 68 75 % ) ,明显高于经尿道前列腺电汽化术组 ( 3 0 4 0 % )。结论 降低医院感染、改进手术方式和技巧十分重要
Objective To prospectively investigate the relationship between two surgical methods of benign prostatic hyperplasia and nosocomial infection. Methods Using unconditional Logistic regression model. The analysis was performed according to the conventional suprapubic transvesical prostatectomy and transurethral electrovaporization (TUVP) group. Results The nosocomial infection was related to the operation method, operation duration, catheter retention time, wound drainage time, incision length and operation. All of these factors are more apparent in the suprapubic transvesical prostatectomy group. The prevalence of nosocomial infection in suprapubic transvesical prostatectomy group (68 75%) was significantly higher than that in transurethral electrovaporization group (340%). Conclusions It is important to reduce nosocomial infections and improve surgical procedures and techniques