欢迎来到天天文库
浏览记录
ID:5317697
大小:280.45 KB
页数:3页
时间:2017-12-08
《tupkvp联合tuibn术治疗小前列腺增生所致膀胱出口梗阻临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、6厂]JMealTheor&PrQcVo1.27,No.1,]an20142014年第27卷第1期爨磐璁键鞲甄髓,TUPKVP联合TUIBN术治疗小前列腺增生所致膀胱出口梗阻临床研究罗建仕陈光曾四平沈思杨江管刚云詹谊广西医科大学第四附属医院泌尿外科,广西柳州市545005摘要目的:采用TUPKVP联合TUIBN术治疗小体积BPH所致的)0的临床疗效。方法:选择2009年6月一2012年6月我院收治的单纯小体积BPH致BO0患者56例,人院先后l:1比例随机分TURP组28例,采用TURP联合TUIBN手术治疗;nJPKVP组28例,采用TUPKVP联合TUIBN手术
2、治疗,比较两组手术时间、术中出血量、切除组织重量、灌洗液量、留置尿管时间、近期并发症,术前与术后3个月IPKS、QOL、PVR、QFnax。结果:TUPKVP组手术时间、术后置管时间较TURP组明显缩短,术中出血量、灌洗液量明显减少(PO.05);两组患者术后3个月的qmax、PRV、lPSS评分、QOL评分较同组术前明显改善(P<0.05);TUPKVP组患者术后3个月Qmax、PRV、IPSS评分、QOL评分的改善程度较TURP组明显。结论:TUPKVP联合TUIBN术治疗小体积BPH所致的B
3、o0,安全性高,临床效果极佳,且操作简便,可作为小体积BPH所致的l3()0首选方法。关键词双极等离子体前列腺汽化术小体积前列腺增生膀胱出口梗阻中图分类号:R697.3文献标识码:A文章编号:1001—7585(2014)O1一O006一O3ObservingEffectofTreatingSmallBenignProstaticHyperplasiawithBladderOutletObstructionbyBipolarVaporizationCombinedwithTransurethralResectionofBladderNeckOperationLUOJ
4、ianshi,CHENGuang,ZENGSiping,eta1.DepartmentofUrologyinFourthA{{liatedHospitalofGuangxiMedicalUniversity,LiuzhouCity,Guangxi545005ABSTRACTObjective:ToinvestigatetheclinicalefficacyofreatingsmallBPHwithBOObyTUPKVPcombinedwithTUIBN.Methods:56casesofpatientswithBPHwithBOOinourhospitalbetwe
5、enJune2009andJune2012werese—lectedandrandomlydividedintoTURPgrouptherewas28cases。usingTURPandTUIBNoperation;TUPKVPgrouptherewas28cases,usingTUPKVPcombinedwithTUIBNoperation,theoperationtime,bleedingduringoperation,weightofresectedtissue,lavagefluidvolume,indwellingcathetertime,complica
6、tions,preoperativeandpostoperative3months’IPSS,QOL,PVR,QmaxoftWOgroupswerecompared.Results:Theoperationtime,postoperativecathetertimeofTUPKVPgroupwereshorterthanTURPgroup.thebleedingduringoperationandlavagefluidvolumeweresignificantlyreduced(P7、ingtime,complicationshadnosignificantdifference(P>0.05);twogroups’postoperative3month’SQmax,PRV,IPSSscore,QOLscorewerehigherthanthatinthesalTlegroup(P
7、ingtime,complicationshadnosignificantdifference(P>0.05);twogroups’postoperative3month’SQmax,PRV,IPSSscore,QOLscorewerehigherthanthatinthesalTlegroup(P
此文档下载收益归作者所有