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Correlation Of Prostate Specific Antigen And Blood Loss In Transurethral Resection Of The Prostate

Posted on:2013-08-10Degree:MasterType:Thesis
Country:ChinaCandidate:J XieFull Text:PDF
GTID:2234330374494642Subject:Surgery
Abstract/Summary:PDF Full Text Request
Objective: To understand the relationship between prostate-specific antigen (PSA)and blood loss in Transurethral resection of the prostate(TURP) of the patients withBenign Prostatic hyperplasia(BPH). Methods: The indicators of PSA, Hemoglobin,Operation time, Extubation time were measured before or after surgery. All120patientswith BPH were divided into3groups: group A of45cases (PSA<4ng/m1)、group B of51cases (PSA≤l0ng/ml)、group C of24cases(PSA>10ng/ml). Each of the indicators wereused statistical analysis. Results: Among the three groups, the differences of Hemoglobinand Operation time were statistically significant; Extubation time had no significantdifferences; The transfusion rate and the secondary hemorrhage rate had no significantdifferences; PSA and hemoglobin, surgery time, extubation time does not exist obviouslinear correlation. Hemoglobin difference among the three groups compared with group Aand group C was statistically significant(P=0.015); Operation time among the threegroups compared with each other were statistically significant(P=0.037), there werestatistically significant between the two groups(P=0.0001, P=0.008, P=0.0236).Extubation time among the three groups showed no statistically significant. Thetransfusion rate and the secondary hemorrhage rate had no significant differences(P=0.583,P=0.171)PSAand hemoglobin, surgery time, extubation time does not existobvious linear correlation(r=-0.096, r=0.013, r=0.151). Conclusions: The BPH patientsof higher PSA has more blood loss during TURP. PSA can be used as a hand bleedingvolume anticipation of how much an indicator.
Keywords/Search Tags:Benign prostatic hyperplasia (BPH), Prostate-specific antigen(PSA), Transurethral resection of the prostate(TURP), Hemorrhage
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