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目的 分析良性前列腺增生行经尿道前列腺电切术 (TURP)后再次实施电切手术的比率及原因。方法 采用回顾性的临床研究方法 ,分析北京协和医院近 2 0年来良性前列腺增生患者行TURP后再次接受电切手术的比率及再次手术的原因 ,与总体患者的相关资料进行比较分析。结果12 2 5例良性前列腺增生患者施行TURP。其中 5 7例患者重复进行了TURP术 ,约占接受手术治疗者的 4 6 5 %。第 2次TURP距第 1次TURP时间平均 3年 2个月。第 2次接受TURP的患者有6 9 8%在第 1次TURP手术后出现反复发作的肉眼血尿 ,与总体患者第 1次入院时术后肉眼血尿比率相比差异有显著意义 (P <0 0 0 5 )。结论 良性前列腺增生患者行TURP后再次手术的比率为4 6 5 % ;第 2次TURP手术距第 1次的时间平均 3年 2个月 ;除了下尿路梗阻症状外 ,TURP手术后反复发作的肉眼血尿是患者再次实施TURP的一个重要原因。
Objective To analyze the rate and causes of transurethral resection after transurethral resection of prostate (TURP) in benign prostatic hyperplasia (BPH). Methods A retrospective clinical study was conducted to analyze the proportion of reoperation patients who underwent TURP and the reasons of reoperation in the patients with BPH in Peking Union Medical College Hospital during the past 20 years and compared with the data of the overall patients. Results TURP was performed in 125 cases of benign prostatic hyperplasia. Totally 57 patients underwent TURP, accounting for 46.5% of those receiving surgery. The 2nd TURP averaged 3 years and 2 months from the 1st TURP time. Sixty-eight percent of the patients who received TURP at the second time had recurrent gross hematuria after the first TURP, which was significantly different from the gross hematuria rate after the first admission (P <0 0) 0 5). Conclusions The rate of reoperation after TURP in patients with benign prostatic hyperplasia is 46.5%. The second TURP operation is 3 years and 2 months from the first time. In addition to the symptoms of lower urinary tract obstruction, the recurrent Gross hematuria is an important reason for patients to implement TURP again.