摘要
目的:探讨临床中体质指数对根治性前列腺切除术的临床影响。方法:采取回顾性的方法对我院2011年1月至2012年12月间200例根治性前列腺切除术患者临床资料进行分析,依据腹腔镜与开放手术患者中患者的体质指数分为肥胖组和非肥胖组,观察两组患者的手术指标和术后指标。结果:腹腔镜下根治性前列腺切除术中肥胖组和非肥胖组患者的手术时间、术中出血量、手术前后血清Hb差值比较具有明显的差异(P<0.05),统计学有意义。两组留置导尿管时间比较无明显的差异(P>0.05),统计学无意义。开放性根治性前列腺切除术中肥胖组和非肥胖组患者的术中出血量、手术前后血清Hb差值比较具有明显的差异(P<0.05),统计学有意义。两组手术时间、留置导尿管时间比较无明显的差异(P>0.05),统计学无意义。结论:临床中对于开放性根治性前列腺切除术肥胖患者手术中更容易发生失血,在腹腔镜下根治性前列腺切除术肥胖患者较非肥胖患者手术的操作时间长,且更容易发生出血。
Objectives： To investigate the clinical impact of body mass index on clinical radical prostatectomy.Methods： The clinical data of 200 radical prostatectomy patients in our hospital from January 2011 to December 2012 were retrospectively analyzed,and divided into obese groups and non- obese group according to their body mass index in laparoscopic and open surgery. The surgery indicators and postoperative indicators of the two groups were observed.Results： In the laparoscopic radical prostatectomy,the operative time,blood loss and the difference in serum Hb before and after surgery in obese and non- obese patients were of statistically significant difference（ P〈 0. 05）. Two indwelling catheter time was of no statistically significant difference（ P〉 0. 05）. In open radical prostatectomy,the amount of bleeding and the difference in serum Hb before and after surgery in obese and non- obese patients were of statistically significant difference（ P〈 0. 05）. The operation time,catheterization time was of no statistically significant difference（ P〉 0. 05）. Conclusion： In clinic open radical prostatectomy,obese patients are more prone to blood loss,while in laparoscopic radical prostatectomy,obese patients is more prone to having longer operating time and blood loss.
出处
《中国性科学》
2015年第1期16-18,共3页
Chinese Journal of Human Sexuality
