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目的分析同期经尿道手术治疗浅表性膀胱癌合并良性前列腺增生的临床疗效。方法选择浅表性膀胱癌合并良性前列腺增生患者共124例为研究对象,随机数表法分为观察组和对照组,观察组采用同期经尿道手术治疗,对照组采用分期经尿道手术治疗。结果对照组手术时间、术中出血量、留置导尿时间优于观察组,但观察组术后复发率、尿道狭窄率低于对照组,观察组术后IPSS评分、最大尿流速(Qmax)、残余尿量均显著优于对照组,以上差异均显著,P<0.05。结论同期经尿道手术治疗浅表性膀胱癌合并良性前列腺增生,复发率低、并发症少,患者术后各项指标恢复良好。其缺点在于手术平均时间较长、术中出血量较多。但总体看来,避免了分期手术的二次手术对患者创伤,临床效果满意,科学可行。
Objective To analyze the clinical effects of transurethral surgery in the treatment of superficial bladder cancer complicated with benign prostatic hyperplasia (BPH). Methods A total of 124 patients with superficial bladder cancer complicated with benign prostatic hyperplasia were enrolled in this study. The random number table was divided into observation group and control group. The observation group was treated by transurethral resection and the control group was treated by urethral surgery. Results The operation time, intraoperative blood loss and indwelling catheterization time in the control group were better than those in the observation group. However, the recurrence rate and urethral stricture rate in the observation group were lower than those in the control group. The IPSS score, Qmax, Residual urine volume were significantly better than the control group, the above differences were significant, P <0.05. Conclusions Transurethral resection of superficial bladder cancer with benign prostatic hyperplasia (BPH) is performed in the same period. The recurrence rate is low and the complication rate is low. All the indexes recovered well after operation. The disadvantage is that the average operation time longer, more bleeding during surgery. However, in general, it is scientifically feasible to avoid trauma caused by the secondary operation of staging surgery and the clinical effect is satisfactory.