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经尿道前列腺电切术治疗良性前列腺增生疗效及其影响因素分析 被引量：6

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摘要 [目的]探讨经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)的疗效及其影响因素.[方法]选择本院收治的BPH患者85例,所有患者均行TURP观察疗效,并对患者进行国际前列腺症状评分(IPSS)、生活质量评分(QOL)进行评分,分析其疗效的影响因素.[结果]85例患者均手术顺利,手术平均耗时(52.01±39.03)min,术后测定患者的最大尿流率(Qmax)、平均尿流率(Qave)、剩余尿量(RU)分别为(16.93±4.89)mL/s、(11.02±1.83)mL/s、(15.72±27.92)mL,与术前比较均有显著性差异(P＜0.01)；术后患者IPSS(8.98±1.01)与QOL(2.17±1.25)评分也均显著低于术前评分(23.57±2.23、4.68±0.92)(P＜0.01)；logistic多因素分析结果表明术前感染史对患者疗效影响最大.所有患者术中1例输血,输血量为400mL,1例术中局限性包膜穿孔,1例出现尿道前列腺电切综合征(TURS)先兆,暂时性尿失禁3例,均于1周后恢复正常.[结论]TURP治疗BPH疗效好,但是其影响因素较多,在治疗过程中应该极力避免,防止并发症的发生.
作者 李忠祥
机构地区 安徽蚌埠市固镇县人民医院外科
出处 《医学临床研究》 CAS 2013年第6期1231-1233,共3页 Journal of Clinical Research
关键词 前列腺增生/外科学 电外科手术
分类号 R697.3 [医药卫生—泌尿科学]
  • 相关文献

参考文献8

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二级参考文献16

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共引文献66

同被引文献49

引证文献6

二级引证文献11

医学临床研究
2013年 第6期

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