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Objective To investigate the clinical effects of improved the Blandy law transurethral prostate resection in the treatment of the high critical benign prostatic hyperplasia . Methods From January 1996 to November 2003 , the high critical cases of benign prostatic hyperplasia 49 cases the original medical illness on the basis of the effective treatment , transurethral resection of adoption The Blandy law transurethral resection of the prostate to treat 17 cases improved Blandy law passing 32 cases , the operation time of the two groups of patients , the weight of the removal of the gland , blood loss, blood transfusion , postoperative results are compared and analyzed . Results in all cases the treatment process is smooth , transurethral resection of the prostate syndrome (TURS) , the two groups of patients had an International Prostate Symptom Score (Ⅰ-PSS) compared with preoperative significantly improved , with good results. Removal of the gland average 56g Blandy law mean operative time was 85min , the mean blood loss 282ml , 10 cases of intraoperative blood transfusion , the average amount of blood transfusion 400ml . Removal of the gland , Blandy method , improved an average of 57g, the average operation time was 70min , the mean intraoperative bleeding 210ml, 15 cases of intraoperative blood transfusion , the average amount of blood transfusion 300ml . Group average operation time , average blood loss was significantly different ( P lt; 0.05 ) , the improved the Blandy method TURP surgery time , less blood loss . Conclusion The modified the Blandy method transurethral resection of the prostate to treat high critical benign prostatic hyperplasia shorter operative time , less blood loss , safe and feasible .
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