经尿道气化电切联合电切治疗前列腺增生症的疗效观察  

Clinical observation of transurethral electro-combined electrotomy in the treatment of hyperplasia of prostate

作　　者：马晋[1] 范地兵 廖凯[1] 

机构地区：[1]广元市第一人民医院泌尿外科,四川广元628017

出　　处：《四川医学》2013年第2期244-245,共2页Sichuan Medical Journal

摘　　要：目的分析经尿道气化电切联合电切治疗前列腺增生症的临床疗效。方法 60例良性前列腺增生症患者随机分为对照组与观察组各30例,对照组采用经尿道前列腺电切术治疗,观察组采用经尿道前列腺气化电切术联合经尿道前列腺电切术治疗。比较两组患者的手术术式及疗效。结果手术治疗后,两组患者的最大尿流率、生活质量评分以及国际前列腺症状评分均比手术治疗前有明显改善(P<0.05)。观察组患者最大尿流率、生活质量评分以及国际前列腺症状评分均优于对照组(P<0.05)。观察组手术出血量及术后留置导尿管时间均明显短于对照组(P<0.05)。两组术后并发症发生率差异无统计学意义。结论经尿道前列腺气化电切术联合前列腺电切术治疗前列腺增生症,疗效良好、手术出血量少、症状改善明显、并发症少,值得在有条件的医院推广。Objective To analyze the curative effect of transurethral electro-combined electrotomy in the treatment of hyperplasia of prostate.Methods 60 patients with benign prostatic hyperplasia were randomly divided into control group and observation group,with 30 patients in each group.The patients in the control group were treated with transurethral resection of prostate,while the patients in the observation group were treated with transurethral vaporization of prostate and transurethral resection of prostate.The hysterectomy and therapeutic effect of operation were compared.Results After operation treatment,the maximum urinary flow rate,quality of life scale score as well as the international prostate symptom score in both groups were improved significantly than the before operation treatment（P〈0.05）.The maximal urinary flow rate,quality of life scale score and the international prostate symptom score in the observation group were better than that in the control group（P〈0.05）.The bleeding volume and postoperative indwelling catheter in the observation group were significantly shorter than that in the control group（P〈0.05）.Two groups of incidence rate of postoperative complications were difference was not statistically significant.Conclusion Transurethral vaporization of prostate and transurethral resection of prostate is suit for the treatment of benign prostatic hyperplasia,it has good operation effect,less bleeding,alleviate symptoms and fewer complications.

关 键 词：前列腺 增生症 经尿道前列腺气化电切术 经尿道前列腺电切术 

分 类 号：R699[医药卫生—泌尿科学]