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《Chinese Journal of Clinical Rational Drug Use》 2017-16
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Comparative study on the efficacy and safety of transurethral resection of the prostate and open surgery for benign prostatic hyperplasia

WANG Changchun;Department of Urology,Chongqing City Tongliang District People's Hospital;  
Objective To compare the clinical efficacy of transurethral plasmakinetic vaporization of prostate(PKRP)and transvesical prostatectomy(open surgery) for the treatment of the patients with benign prostatic hyperplasia(BPH) and to evaluate the therapeutic safety. Methods 84 patients with BPH were randomly divided into two groups,each of 42 cases. Open surgery group used the bladder prostatectomy for treatment,PKRP patients were treated with PKRP. The operative time,intraoperative blood loss,intraoperative blood transfusion,postoperative bladder rinse time,indwelling catheter time,postoperative bed time,postoperative eating time,postoperative hospital stay,complications and other conditions of two groups were recorded and compared. Results The intraoperative blood loss and intraoperative blood transfusion in PKRP group were significantly lower than open surgery group; The operative time,postoperative bladder rinse time,indwelling catheter time,postoperative bed time,postoperative eating time,postoperative hospital stay in PKRP group were significantly shorter than open surgery group,the difference were statistically significant(P 0. 05). The incidence of bladder irritation after treatment in PKRP group was significantly lower than that in open surgery group,the difference was statistically significant(P 0. 05). There was no significant difference in urinary incontinence,urinary incontinence,urethral stricture and postoperative bleeding rate between two groups(P 0. 05). Conclusion PKRP and open surgical in treatment of BPH both have a better clinical treatment,but the use of PKRP can significantly improve the treatment of patients with the relevant clinical indicators,and effectively reduce the incidence of related complications,worthy of clinical widely used.
【CateGory Index】: R699.8
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【Citations】
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