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目的:探讨经尿道等离子电切术前行膀胱造瘘治疗巨大良性前列腺增生(benign prostatic hyperplasia,BPH)伴尿潴留的手术疗效比较。方法:2007年3月～2010年11月确诊为巨大BPH伴尿潴留患者45例随机分为2组,统计分析患者一般资料、术前国际前列腺症状(international prostate symptom score,IPSS)计分、生活质量(quality of life,QOL)评分、前列腺体积及术中前列腺切除重量、手术时间、术中失血量、留置导尿管时间及住院时间。结果:2组患者的年龄、病程、前列腺体积、IPSS及QOL评分等指标无差异(P>0.05)。手术时间及术中出血量方面均有显著差异(P<0.05),留置导尿管时间及住院时间方面无明显差异(P>0.05)。结论:对于巨大BPH伴尿潴留患者,术前常规行膀胱造瘘,可减少术中出血量、缩短手术时间,提高手术安全性。
Objective: To investigate the efficacy of transurethral resection of bladder cystostomy in the treatment of giant benign prostatic hyperplasia (BPH) with urinary retention. Methods: From March 2007 to November 2010, 45 patients with massive BPH with urinary retention were randomly divided into 2 groups. The general data of patients, preoperative international prostate symptom score (IPSS) score, life expectancy Quality of life (QOL) score, prostate volume and intraoperative total prostatectomy weight, operation time, intraoperative blood loss, indwelling catheter time and hospital stay. Results: The age, course of disease, prostate volume, IPSS and QOL scores of two groups had no significant difference (P> 0.05). There was significant difference in operative time and intraoperative blood loss (P <0.05), indwelling catheter time and hospitalization time had no significant difference (P> 0.05). Conclusion: For patients with huge BPH with urinary retention, routine preoperative bladder cystostomy can reduce intraoperative blood loss, shorten the operation time and improve the safety of surgery.