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目的探讨经膀胱前列腺切除术治疗高龄及高危前列腺增生患者的临床疗效。方法回顾性选取2011年11月至2014年10月广宁县人民医院收治的高龄及高危前列腺增生患者90例,按随机数字表法将患者分为对照组与研究组,各45例。对照组患者采用常规经尿道前列腺切除术,研究组患者采用经膀胱前列腺切除术进行治疗,比较两组患者术中出血量、手术时间、术后尿色转清时间、前列腺切除量。结果研究组患者术中出血量明显少于对照组,手术时间明显长于对照组,术后尿色转清时间明显短于对照组,前列腺切除量明显高于对照组,差异均有统计学意义(均P<0.05)。结论对高龄及高危前列腺增生患者采用经膀胱前列腺切除术治疗,可行性强,安全有效,同时还可加快疾病的康复速度。
Objective To investigate the clinical efficacy of transurethral resection of prostate in elderly patients and high-risk patients with benign prostatic hyperplasia. Methods Ninety patients with benign prostatic hyperplasia (BPH) and high-risk benign prostatic hyperplasia (BPH) treated in Guangning County People’s Hospital from November 2011 to October 2014 were retrospectively selected. The patients were divided into control group and study group (n = 45) according to random number table. Patients in the control group were treated by conventional transurethral resection of the prostate. Patients in the study group were treated with transurethral resection of the prostate. Blood loss, operation time, urinary color clearance time and prostatectomy volume were compared between the two groups. Results The bleeding volume of the study group was significantly less than that of the control group, the operation time was significantly longer than that of the control group, and the time of postoperative urinary color clearing was significantly shorter than that of the control group. The amount of prostatectomy was significantly higher than that of the control group All P <0.05). Conclusions Transurethral resection of the prostate by advanced prostatectomy is safe, effective and effective in the treatment of elderly and high-risk BPH patients.