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目的:探讨不同前列腺切除术式与术后膀胱痉挛(BS)的关系。方法:将前列腺重度增生80例随机分为4组(每组20例),分别采用耻骨上经膀胱前列腺摘除术、保留尿道耻骨后膀胱外前列腺摘除术、经尿道前列腺激光气化术及经尿道前列腺电切术治疗,观察各组术后BS发作情况。结果:术后共发生BS46例(57.5);其中耻骨上经膀胱前列腺摘除组发生20例(100.0),耻骨后保留尿道前列腺摘除组9例(45.0),经尿道前列腺激光气化组11例(55.0),经尿道前列腺电切组6例(30.0);耻骨上经膀胱前列腺摘除组BS发生率显著高于其他3组(P<0.05)。结论:经尿道微创治疗前列腺增生可有效减少BS的发生。
Objective: To investigate the relationship between different types of prostatectomy and postoperative bladder spasm (BS). Methods: 80 cases of severe prostatic hyperplasia were randomly divided into 4 groups (20 cases in each group). The patients were treated with suprapubic transvesical prostatectomy, urethral retropubic extraurethral prostatectomy, transurethral vapor laser vaporization and transurethral vaporization Prostate resection of the prostate to observe the postoperative BS seizures. Results: There were 46 cases of BS (57.5) postoperatively, including 20 cases (100.0) in suprapubic transvesical prostatectomy group, 9 cases (45.0) in retropubic prostatectomy group and 11 cases in transurethral vaporization group 55.0), and transurethral resection of the prostate (6 cases, 30.0). The incidence of BS in suprapubic transvesical prostatectomy group was significantly higher than that in the other 3 groups (P <0.05). Conclusion: Transurethral minimally invasive treatment of benign prostatic hyperplasia can effectively reduce the incidence of BS.