快速康复外科结合激光技术在前列腺增生手术中的应用  

Application of fast track surgery combined with laser technique in benign prostatic hyperplasia surgery

作　　者：杨奕[1] 郭妍超 万小泉[1] YANG Yi GUO Yanchao WAN Xiaoquan(Department of Urology, Shijingshan Teaching Hospital, Capital Medical University Beijing Shijingshan Hospital, Beijing 100143, China)

机构地区：[1]首都医科大学石景山教学医院北京市石景山医院泌尿外科,北京100143

出　　处：《中国医药导报》2017年第6期96-99,共4页China Medical Herald

摘　　要：目的探讨快速康复外科(FTS)结合激光技术在前列腺增生手术中的应用价值。方法选取2007年7月~2016年6月首都医科大学石景山教学医院收治的132例前列腺增生患者,按奇偶数将其随机分为FTS组(65例)和对照组(67例),FTS组行经尿道前列腺激光汽化切除术,并按照FTS方案进行围术期处理;对照组行耻骨后保留尿道前列腺切除术,并接受传统的围术期处理。比较两组患者术后膀胱持续冲洗时间、留置尿管时间、术后首次排气时间、术后住院时间、住院费用、术后并发症等情况。结果 FTS组患者术后膀胱持续冲洗时间、留置尿管时间、术后首次排气时间、术后住院时间及住院费用均显著低于对照组,差异均有统计学意义(P<0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。结论 FTS结合激光技术可加速前列腺增生患者的术后康复,缩短住院时间,降低住院费用。Objective To investigate the application value of fast track surgery （FTS） combined with laser application in the postoperative recovery of patients with benign prostatic hyperplasia. Methods One hundred and thirty-two pa- tients with benign prostatic hyperplasia admitted to Shijingshan Teaching Hospital, Capital Medical University from July 2007 to June 2016 were selected, and they were randomly divided into the FTS group （65 cases） and the control group （67 cases） by odevity. FTS group received transurethral laser vaporization resection of prostate and perioperative management according to FTS care. The control group received retropubic prostatectomy with urethra intact and traditional perioperative management. The continual irrigating time of bladder, time of indwelling catheter, postoperative first exhaust time, postoperative hospital stay, hospitalization costs and postoperative complications between the two groups were compared. Results The continual irrigating time of bladder, time of indwelling catheter, postoperative first exhaust time, postoperative hospital stay, hospitalization costs in the FTS group were all lower than those of control group, the differences were all statistically significant （P 〈 0.05）. There was no statistically significant difference of the incidence of postoperative complications between the two groups （P 〉 0.05）. Conclusion FTS combined with laser technique can accelerate the postoperative rehabilitation of patients with benign prostatic hyperplasia surgery, shorten hospital stay and reduce hospitalization costs.

关 键 词：快速康复外科 激光 前列腺增生 围术期 

分 类 号：R697.32[医药卫生—泌尿科学]