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大前列腺经尿道切除的安全性

Ayman Al-Bakri¹, Abdullah Al-Jaser¹, Khalid Al-Gamdi¹

¹Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia.

|June 12, 2023

概括

通过尿道切除前列腺 (TURP) 是大前列腺 (≥80g) 的安全程序. 这项研究发现并发症最小,证明 TURP.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学

背景情况:

良性前列腺增生 (BPH) 是老年男性中普遍存在的疾病,通常需要手术干预.
通过尿道切除前列腺 (TURP) 是BPH最常见的手术治疗方法.

研究的目的:

评估对体重为80克或以上的前列腺进行TURRP的可行性和安全性.

主要方法:

一项对153名患者病历的回顾性审查,其中48例符合纳入标准 (前列腺大小≥80g,没有先前的TURP).
通过患者档案和采访收集的数据.
使用SPSS进行的统计分析.

主要成果:

93.7%的患者没有经历明显的术后出血或血红蛋白下降.
TUR综合征仅在2.1%的患者中发生,症状轻微.
在住院或随访期间没有观察到尿的情况.

结论:

TURP是大前列腺 (≥80g) 的安全和可行的手术选择.
安全的关键因素包括外科医生的经验,系统的方法和受控的切除时间.
对于非常大的前列腺 (>100g) 或持续的症状,可以考虑分阶段 TURP 或重复手术.

关键词:

良性前列腺增生症良性前列腺增生症下泌尿道的症状下泌尿道的症状通过尿道切除前列腺.

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