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Clinical Comparative Study Of Transurethral Columnar Balloon Dilation Of The Prostate And Transurethral Prostatic Resection In The Treatment Of Small Volume Benign Prostate Hyperplasia

Posted on:2022-04-25Degree:MasterType:Thesis
Country:ChinaCandidate:S ChaiFull Text:PDF
GTID:2504306575480044Subject:Surgery
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Objectives Through the analysis of small-sized prostate hyperplasia patients,clinical effects of compared transurethral columnar balloon dilation of the prostate(TUCBDP)and transurethral prostatic resection(TURP)two surgical methods,exploring the efficacy of transurethral columnar balloon dilation of the prostate for small volume prostatic hyperplasia.Methods Analysis between November 2017 to December 2019,patients with TUCBDP and TURP surgery in the Affiliated Hospital of North China University of Science and Technology,including 102 patients with standard BPH patients,includi-ng 49 cases of TUCBDP surgery,53 cases of TURP surgery,system records and assessment of patients generally clinical data.preoperative international prostatic symptom score(IPSS),Quality of life score(Qo L),maximum urinary flow rate(Qmax)post void residual(PVR),perioperative data,record the first month of patients,3 months and 6 months of IPSS,Qo L,postoperative complications of Qmax,PVR and all patients after the third month.Statistical analysis of the above indicators of two groups of surgical patients.Results There were no significant statistical significance in the comparison of two groups of patients before surgery(P>0.05).Both groups have successfully completed surgery.Surgery time and postoperative urete time,TUCBDP group and TURP group comparison difference have statistical differences(P<0.05),The TUCBDP group in hospitalization is slightly shorter than Turp group,and there is no statistical significance compared between two groups(P>0.05).The efficacy of surgery,6 months after surgery,IPSS score compared to differences between two groups(P<0.05).There is no significant difference between two groups after one month after surgeryand3 months after surgery(P>0.05).QOL has no significant difference between two groups,1 month,3 months and 6 months after surgery(P>0.05).Qmax,PVR has no significant difference between two groups after 3months after surgery(P>0.05).Compared with the preoperative baseline in each group,TUCBDP group and TURP group Qmax,PVR has statistically significant differences in three months after surgery(P<0.05)TUCBDP group and TURP group IPSS,QOL score is statistically significant in 1 month,3 months and 6 months after surgery(P<0.05).For postoperative complications,the incidence of transient urinary incontinence TUCBDP group is higher than TURP group,there were no significant statistical significance in the comparison of two groups(P>0.05).Bladder neck contracture(BNC)incidence TURP group is higher than TUCBDP group(P<0.05).Conclusions 1 TUCBDP is more obvious,and the symptoms of lower urinary tract to small volume prostatic hyperplasia are more obvious,and the efficacy is continuous and stable.2 Two surgical methods are safe and effective for small volume prostatic hyperplasia,and there is no serious complications after surgery.3 TUCBDP is exactly the efficacy of small volume prostatic hyperplasia patients,is one of the surgical methods available in clinical work,it is worth further promotion.Figure 2;Table 10;Reference 116...
Keywords/Search Tags:Benign prostatic hyperplasia, transurethral columnar balloon dilation of the prostate, transurethral prostatic resection, effect, complications
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