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蔡政, 卢建林, 张勇, 孙键. 经尿道前列腺电切及经尿道电汽化术治疗良性前列腺增生症临床疗效比较[J]. 实用临床医药杂志, 2011, (9): 43-46. DOI: 10.3969/j.issn.1672-2353.2011.09.013
引用本文: 蔡政, 卢建林, 张勇, 孙键. 经尿道前列腺电切及经尿道电汽化术治疗良性前列腺增生症临床疗效比较[J]. 实用临床医药杂志, 2011, (9): 43-46. DOI: 10.3969/j.issn.1672-2353.2011.09.013
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CAI Zheng, LU Jian-lin, ZHANG Yong, SUN Jian. Comparison of the therapeutic efficacy of transurethral electro-vaporization of prostate (TUVP) and transurethral resection of prostate (TURP) in benign prostate hyperplasia (BPH)[J]. Journal of Clinical Medicine in Practice, 2011, (9): 43-46. DOI: 10.3969/j.issn.1672-2353.2011.09.013
Citation: CAI Zheng, LU Jian-lin, ZHANG Yong, SUN Jian. Comparison of the therapeutic efficacy of transurethral electro-vaporization of prostate (TUVP) and transurethral resection of prostate (TURP) in benign prostate hyperplasia (BPH)[J]. Journal of Clinical Medicine in Practice, 2011, (9): 43-46. DOI: 10.3969/j.issn.1672-2353.2011.09.013
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经尿道前列腺电切及经尿道电汽化术治疗良性前列腺增生症临床疗效比较

Comparison of the therapeutic efficacy of transurethral electro-vaporization of prostate (TUVP) and transurethral resection of prostate (TURP) in benign prostate hyperplasia (BPH)

    摘要
  • 摘要: 目的 探讨比较经尿道前列腺电汽化(TUVP)与经尿道电切术(TURP)治疗良性前列腺增生症(BPH)的临床疗效.方法 将BPH 988例患者分为两组,TUVP组588例,TURP组400例,比较两组手术时间、术中出血、电切综合征发生率、血清钠离子、术后国际前列腺症状评分(IPSS)情况.结果 TUVP组患者手术时间、术中出血量、电切综合征发生率(TURS)、术后当天血清钠分别为(60.1±15.4) min、(132±25.2) mL、0.68%、(141.2±2.2) mmol/L,与TURP组比较差别有统计学意义(P＜0.05).术后1月TUVP组国际前列腺症状评分(I-PSS)(9.1±3.3)、生活质量评分(QOL)(1.8±1.1)、最大尿流率发(Qmax)(17.7±8.5) mL/s;TURP组分别为(9.2±3.8)、(1.9±1.3)、(17.6±9.1) mL/s,两组比较差异无统计学意义(P＞0.05).结论 TUVP与TURP治疗BPH疗效基本一致,但TUVP更安全,并发症少,适应证更广.若两者联合应用疗效更佳.

     

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