Clinical research on the surgery treatment for prostate hyperplasia together with bladder tumor simultaneously
10.3760/cma.j.issn.1008-6706.2013.07.019
- VernacularTitle:前列腺增生合并膀胱肿瘤同期行手术治疗临床研究
- Author:
Hong DAI
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Urinary bladder neoplasms;
Transurethral resection of prostate
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(7):1005-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of the electrocision treatment for the same period of the prostatic hyperplasia and bladder cancer patients.Methods Doing the grouping therapy for 166 patients in our hospital who have agreed on the research.Group A:doing the bladder tumor part electricity cutting surgery and removing the prostate gland excision above pubis simultaneously,60 cases,Group B:doing the bladder tumor part electricity cutting surgery and the prostate gland excision transurethral resection electricity cutting simultaneously,66 cases,Group C:only doing the bladder tumor part electricity cutting surgery transurethral resection,44 cases.Results (1) Patients' recovering situation in group A was close to that of patients in group B,but operation time and average hospitalization time was (43.2 ± 16.7) min and (11.3 ± 2.4) d,which were obviously lower than those of group A (P ＜ 0.05).The amount of blood loss of group B was (119.5 ± 72.1) ml,which was obviously less than that of group A(P ＜ 0.05).While the lien urine tube time of group B was (8.6 ± 2.4)d,less than group A.(2)Patients of group A and group B's dysuresia had been improved obviously after the operation.There were only 3.2％ of the patients in group A and group B appearing dysuresia after the operation,but in the group C there was still 28.5％ having dysuresia after the operation,(3)The incidence rate of intraoperative complications was the highest in group A(33.2％),next group C (21.3％),the lowest group B(12.6％).(4) Follow-up 1 year,the recurrent rate of the bladder tumor in group A was 25.3％,group B 18.2％,group C 23.7％,all the tumor recurrences are ectopic recurrences,and after the further consultation,none of those patients taking the electricity cutting surgery relapse again.Conclusions Patients who have Prostate hyperplasia and bladder cancer can avoid the pain of second surgery by taking the electricity cutting surgery,shorten their length of time in hospital,and reduce the costs of health care.Compared with traditional methods,the method of operation is safe relatively,and can control the incidence of complication effectively.From the follow-up visiting,we can find that this surgery has many advantages such as the reliable curative effect,and the lower recurrent rate,so it can be used widely for reference.
