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为寻找治疗前列腺增生症(BPH)有效的手术方法,对96例采用耻骨上经膀胱前列腺切除术,同时对143例采用经尿道前列腺电切术,并将两者的临床资料进行比较。结果显示:两组术中输血例数、输血量及膀胱冲洗液转清时间、保留尿管时间、并发切口感染例数均有极显著性差异(P<0.01),而两组并发尿失禁、尿道狭窄的例数无显著性差异(P>0.05)。认为经膀胱切除术适用于前列腺较大或并发有膀胱病变的BPH者(如膀胱结石等),经尿道电切术适用于前列腺较小或前列腺不易剥离者。
In order to find an effective surgical method for the treatment of benign prostatic hyperplasia (BPH), 96 cases were treated by suprapubic transvesical prostatectomy and 143 cases were treated by transurethral resection of the prostate. The clinical data of the two groups were compared. The results showed that there were significant differences (P <0.01) between the number of blood transfusion, blood transfusion and bladder washing fluid clearance time, catheterization time, number of concurrent incisional infection in both groups (P <0.01) There was no significant difference in incontinence and urethral stricture (P> 0.05). That cesarean section is suitable for BPH who have large prostate or bladder disease (such as bladder stones, etc.), transurethral resection of the prostate is suitable for small prostate or prostate is not easy to peel.