a国产,中文字幕久久波多野结衣AV,欧美粗大猛烈老熟妇,女人av天堂

經(jīng)尿道半導(dǎo)體激光前列腺剜除術(shù)與前列腺電切術(shù)治療不同體積良性前列腺增生的臨床對比分析

發(fā)布時間:2018-09-07 12:50
【摘要】:目的:對比分析經(jīng)尿道半導(dǎo)體激光前列腺剜除術(shù)(DIOD)與前列腺電切術(shù)(TURP)治療不同體積良性前列腺增生(BPH)的臨床療效。方法:回顧性分析2012年3月至2015年8月本院收治的256例BPH患者,其中141例采用DIOD,115例采用TURP。術(shù)前按前列腺體積大小分為3組,60 ml組中42例行DIOD術(shù),31例行TURP術(shù);60~80 ml組中51例行DIOD術(shù),45例行TURP術(shù);80 ml組中48例行DIOD術(shù),39例行TURP術(shù);對比分析3組患者兩種治療方法的臨床療效,各組圍手術(shù)期平均手術(shù)時間、血紅蛋白變化率、Na+變化率、膀胱沖洗時間、留置尿管時間,以及術(shù)前術(shù)后血清PSA、IPSS評分、最大尿流率(Qmax)、殘余尿(PVR)等指標變化。結(jié)果:60 ml組圍手術(shù)期各項指標及術(shù)后隨訪指標在兩種手術(shù)方法間無明顯差異;60~80 ml組中DIOD組血紅蛋白變化[(3.25±1.53)g/L]、Na+變化[(3.58±1.27)mmol/L]、沖洗時間[(30.06±6.22)h]、留置尿管時間[(47.61±13.55)h]明顯優(yōu)于TURP組[(4.77±1.67)g/L、(9.67±2.67)mmol/L、(58.32±10.25)h、(68.01±9.69)h](P0.05),DIOD組術(shù)后PSA下降大于TURP組[(2.34±1.29)μg/L vs(1.09±0.72)μg/L,P0.05];80 ml組中DIOD組術(shù)后PSA下降大于TURP組[(3.35±1.39)μg/L vs(1.76±0.91)μg/L,P0.05)],且圍手術(shù)期各項指標明顯優(yōu)于TURP組(P0.05或P0.01)。DIOD組無輸血、經(jīng)尿道電切綜合征、尿道狹窄等并發(fā)癥發(fā)生,但假性尿失禁發(fā)生率高于TURP組(22.70%vs 7.83%)(P0.01)。結(jié)論:DIOD治療BPH短期療效確切,具有出血少、恢復(fù)快、安全性高的特點。在中、大體積前列腺中優(yōu)勢明顯,而對小體積前列腺與TURP療效相當。
[Abstract]:Objective: to compare the clinical effects of transurethral semiconductor laser enucleation of the prostate (DIOD) and electroprostatectomy (TURP) in the treatment of benign prostatic hyperplasia (BPH) with different volumes. Methods: a retrospective analysis of 256 patients with BPH admitted from March 2012 to August 2015 in our hospital was made, of which 141 cases were treated with DIOD,115 and TURP. was used. According to the volume of prostate, 42 cases were divided into 3 groups according to the volume of prostate, 42 cases were treated with DIOD, 31 cases were treated with TURP, 31 cases were treated with TURP, 51 cases were treated with DIOD, 45 cases were treated with TURP, 48 cases were treated with DIOD and 39 cases with TURP. The mean operative time, the change rate of hemoglobin and Na, the time of bladder irrigation, the time of indwelling urinary catheter, the preoperative and postoperative serum PSA,IPSS score, the maximum urinary flow rate (Qmax),) residual urine (PVR) and so on were all changed in each group. 緇撴灉:60 ml緇勫洿鎵嬫湳鏈熷悇欏規(guī)寚鏍囧強鏈悗闅忚鎸囨爣鍦ㄤ袱縐嶆墜鏈柟娉曢棿鏃犳槑鏄懼樊寮,

本文編號:2228316

資料下載
論文發(fā)表

本文鏈接:http://www.wukwdryxk.cn/yixuelunwen/mjlw/2228316.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶971b9***提供,本站僅收錄摘要或目錄,作者需要刪除請E-mail郵箱bigeng88@qq.com
97国产精品视频| 张家港市| 二区av| 国产一区二| 亚洲精品一区二区三区| 久久综合精品国产二区无码| 中文无码一区二区不卡αv| 亚洲一本到无码AV中文字幕| 成 人 黄 色 网 站 在线播放视频| 97久久国产露脸精品国产| 亚洲精品久久久久久久蜜桃| 亚洲电影成人av99爱色| 欧美黑人性猛交大片| 懂色av一区二区| 特大黑人与亚洲娇小| 亚洲狠狠| 日韩电影免费| 狠狠操综合网| 人人妻人人澡人人| 精品日韩av| 熟女少妇a性色生活片毛片| 夜夜综合| 啊v在线观看| 久久一区二区三区四区 | 无码人妻精品一区二区三区夜夜嗨| 97碰碰碰人妻视频无码| 久久久久亚洲AV成人人电影软件| 欧美做受高潮| 狠狠| 国产免费永久精品无码| 2020精品国产福利在线观看香蕉| 狼友网精品视频在线观看| 色欲AⅤ亚洲情无码AV蜜桃| 一区二区不卡在线视频| 国产精品久久久久久久久久久不卡| 久久先锋男人av资源网站| 97人妻碰碰碰久久久久| 亚洲AV永久无码精品蜜芽| 色噜噜狠狠色综合AV| 亚洲熟女WWW一区二区三区| 色婷婷一区二区三区四区成人网|