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目的:比较经尿道和开放手术治疗前列腺增生症的临床疗效。方法:回顾分析197例良性前列腺增生症手术患者,在术中和术后指标等的差异性。结果:所有患者手术前后指标比较均有统计学差异(P<0.05),症状改善在手术之间程度比较上,PVP>70 cc组不如其他两组改善明显(P<0.05)。在术后指标中,经尿道手术组要优于开放手术组(P<0.05),其中PVP组要优于TURP组(P<0.05)。结论:PVP在处理较小前列腺上表现出明显优势,在较大前列腺上仍需进一步临床研究证明。
Objective: To compare the clinical efficacy of transurethral and open surgery in the treatment of benign prostatic hyperplasia. Methods: A retrospective analysis of 197 cases of benign prostatic hyperplasia surgery patients, intraoperative and postoperative indicators such as the difference. Results: There was a significant difference between all the patients before and after operation (P <0.05). The improvement of symptoms was not as significant as that of the other two groups (P <0.05). Among the postoperative indicators, the transurethral surgery group was superior to the open surgery group (P <0.05), and the PVP group was superior to the TURP group (P <0.05). CONCLUSIONS: PVP shows obvious advantages in treating smaller prostate glands and further clinical studies on larger prostate need to be performed.