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为了解机体对经尿道手术的应激反应程度,采用放射免疫双抗体法分别测定了18例经尿道前列腺切除术(TURP)、23例经尿道膀胱肿瘤切除术(TURBt)、8例经尿道冷刀尿道狭窄段切开术(DVIU)、17例耻骨上经膀胱前列腺切除术及12例开放膀胱部分切除术病人手术前和手术将结束时的血泌乳素(PRL)浓度。结果显示:YURP与开放前列腺切除术或膀胱部分切除术一样,病人的应激反应强烈。血PRL显著增高(均P<0.05);TURBt或DVIU病人的应激反应程度轻,血PRL虽有升高但无显著性差异(均P>0.05)。提示机体对TURP的应激反应与开放前列腺切除术一样明显;而TURBt或DVIU的应激反应小于开放手术。
In order to understand the degree of stress response to transurethral resection, 18 cases of TURP, TURBt, and 8 cases of transurethral resection of the urethra were measured by radioimmunoassay. 17 cases of suprapubic transvesical bladder resection and 12 cases of open partial cystal resection before surgery and the end of surgery will be the concentration of prolactin (PRL). The results showed that: YURP and open partial prostatectomy or partial resection, the patient’s stress response. Blood PRL were significantly higher (all P <0.05); TURBt or DVIU patients with mild stress response, although the blood PRL increased but no significant difference (all P> 0.05). Suggesting that the body’s response to TURP stress and open prostate resection as obvious; and TURBt or DVIU stress response less than open surgery.