经直肠前列腺穿刺活检术后经尿道前列腺电切术时机的探讨
发布时间：2018-04-22 01:28
本文选题：经直肠前列腺穿刺活检 + 经尿道前列腺电切术 ； 参考：《中国微创外科杂志》2017年09期
【摘要】：目的探讨经直肠前列腺穿刺活检后经尿道前列腺电切术(transurethral resection of prostate,TURP)的时机。方法 2013年9月~2015年9月,经直肠前列腺穿刺活检后行TURP 60例,按时间先后分为A、B组各30例,2组年龄、前列腺特异抗原(prostate specific antigen,PSA)、前列腺体积、血红蛋白及国际前列腺症状评分(international prostate symptom score,IPSS)无统计学差异。A、B组分别于穿刺后1周及4周行TURP,记录手术时间、切除前列腺重量、术中失血量、术后膀胱冲洗时间及术后3个月IPSS。结果 B组手术时间、术中出血量、术后膀胱冲洗时间及术后3个月IPSS均显著低于A组[(58.3±6.0)min vs.(62.0±3.3)min,t=2.952,P=0.005;(154.1±15.8)ml vs.(167.4±29.5)ml,t=2.181,P=0.035;(19.2±0.8)h vs.(20.6±2.3)h,t=3.034,P=0.004;(18.3±2.5)分vs.(20.3±2.0)分,t=3.419,P=0.001],切除前列腺重量明显高于A组[(37.1±4.0)g vs.(33.3±7.8)g,t=-2.341,P=0.024]。结论经直肠前列腺穿刺活检术后4周再行TURP,可以显著增加切除前列腺重量,减少术中出血量,缩短手术时间及术后膀胱冲洗时间,更显著地改善排尿症状。如无特殊情况,建议穿刺后4周行TURP。
[Abstract]:Objective to investigate the timing of transurethral resection of prostate transurethral transurethral resection (TURP) after transrectal prostate biopsy. Methods from September 2013 to September 2015, 60 patients with TURP were divided into two groups: group A (n = 30) and group B (n = 30). There was no statistical difference in hemoglobin and international prostate symptom score. TURP was performed in group A at 1 and 4 weeks after puncture, respectively. The time of operation, the weight of prostatic resection, the amount of blood lost during operation, the time of bladder washing after operation and the postoperative 3 months of IPSs were recorded. 缁撴灉 B缁勬墜鏈椂闂，
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