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经尿道前列腺切除术:即刻及术后并发症。一项由13个参与机构对3885例患者进行评估的合作研究。

Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients.

作者信息

Mebust W K, Holtgrewe H L, Cockett A T, Peters P C

机构信息

University of Kansas Medical Center, Kansas City.

出版信息

J Urol. 1989 Feb;141(2):243-7. doi: 10.1016/s0022-5347(17)40731-2.

Abstract

The mortality rate for transurethral prostatectomy was 0.2 per cent in 3,885 patients reviewed retrospectively. The immediate postoperative morbidity rate was 18 per cent. Increased morbidity was found in patients with a resection time of more than 90 minutes, gland size of more than 45 gm., acute urinary retention and patient age greater than 80 years, and in the black population. Of the patients 77 per cent had significant pre-existing medical problems. Operative mortality, significant morbidity and hospital stay were reduced in comparison to studies done 15 and 30 years ago.

摘要

对3885例患者进行回顾性研究发现,经尿道前列腺切除术的死亡率为0.2%。术后即刻发病率为18%。切除时间超过90分钟、腺体大小超过45克、急性尿潴留、患者年龄超过80岁以及黑人患者的发病率增加。77%的患者术前存在严重的健康问题。与15年和30年前的研究相比,手术死亡率、严重发病率和住院时间均有所降低。

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