经尿道前列腺剜除术与电切术的比较(2)
3.3 TREP与TURP
本研究结果显示,TREP组术中出血量、冲洗液吸收量与TURP组比较有明显下降。TURP组水分吸收量多,有56.7%出现稀释性低血钠,其中5.3%发生严重的低钠血症。TURP组有5.9%的患者因为失血多而出现低血压。TREP组手术时间、导尿管留置时间、术后住院时间均较TURP组短,显而易见,TUEP术是一种切除前列腺安全性极高的手术并发症少方法,不仅出血少、冲洗液吸收少、恢复快,而且手术时间、术后住院时间缩短,应该作为治疗的首选。
[参考文献]
[1]陈向东,张顺兴,陆洪兵.应用Gyrus等离子体切割系统经尿道前列腺0e11除术(Af7:例报告)[J].中国男科学杂志,2003,17(4):249.
[2]Page BH.The pathological anatomy of digital enucleation for benign prostatic hyperplasia and its application to endoscopic resection[J].Br J Urol,1980,52(2): 111-126.
[3]毛厚平,魏勇,曹林升,等.经尿道前列腺剜除术[J].中国男科学杂志,2007,21(1):50.
[4]Kupeli S,Yilmaz E,Soygur T,et al.Randomized study of transurethral resection of fhe prostate and combined transurethral reseection and vaporixation of fhe prostaic hyper-plasia[J].J Endourol,2001,15:317-321.
[5]Kupeli S,Soygur T,Yilmaz E,et al.Combined transurethral resection and vaporization of fhe prostate using newly designed electrode:a promising treatment alterna-tive for benign prostatic hyperplasia[J].J Endourol,1999,13:225-228., http://www.100md.com
本研究结果显示,TREP组术中出血量、冲洗液吸收量与TURP组比较有明显下降。TURP组水分吸收量多,有56.7%出现稀释性低血钠,其中5.3%发生严重的低钠血症。TURP组有5.9%的患者因为失血多而出现低血压。TREP组手术时间、导尿管留置时间、术后住院时间均较TURP组短,显而易见,TUEP术是一种切除前列腺安全性极高的手术并发症少方法,不仅出血少、冲洗液吸收少、恢复快,而且手术时间、术后住院时间缩短,应该作为治疗的首选。
[参考文献]
[1]陈向东,张顺兴,陆洪兵.应用Gyrus等离子体切割系统经尿道前列腺0e11除术(Af7:例报告)[J].中国男科学杂志,2003,17(4):249.
[2]Page BH.The pathological anatomy of digital enucleation for benign prostatic hyperplasia and its application to endoscopic resection[J].Br J Urol,1980,52(2): 111-126.
[3]毛厚平,魏勇,曹林升,等.经尿道前列腺剜除术[J].中国男科学杂志,2007,21(1):50.
[4]Kupeli S,Yilmaz E,Soygur T,et al.Randomized study of transurethral resection of fhe prostate and combined transurethral reseection and vaporixation of fhe prostaic hyper-plasia[J].J Endourol,2001,15:317-321.
[5]Kupeli S,Soygur T,Yilmaz E,et al.Combined transurethral resection and vaporization of fhe prostate using newly designed electrode:a promising treatment alterna-tive for benign prostatic hyperplasia[J].J Endourol,1999,13:225-228., http://www.100md.com