前列腺增生患者经尿道前列腺电切术不同时机的疗效观察  

Patients with Benign Prostatic Hyperplasia Transurethral Resection Efficacy of Different Time

作　　者：胡敏[1] 宋乐明[1] 钟久庆[1] 刘泰荣[1] 彭作锋[1] 秦文[1] 杜传策[1] 朱伦锋[1] 黎衍敏[1] 黄建荣[1] 

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2013年第30期16-17,共2页Medical Innovation of China

摘　　要：目的：研究并分析前列腺增生患者经尿道前列腺电切术不同手术时机的临床疗效。方法：选择本院2011年6月1日-2013年1月1日共收治的前列腺增生患者102例，所有患者均进行了较为详细的合并症诊断和治疗，在充分评估手术耐受性的基础上进行了经尿道前列腺电切术治疗。结果：本组102例患者经过治疗，7～14d内均恢复了自主排尿功能。本组患者的国际前列腺症状评分情况由手术前的（33．6±1．2）分下降为（9．1±1．3）分；最大尿流率由手术前的（6．5±1．7）mL上升为（21．4±4．9）mL；生活质量评分由手术前的（4．6±0．3）分上升为（6．9±0．4）分；残余尿量由手术前的（352．1±0．5）mL下降为（27．3±0．1）mL，上述各项指标与手术前相比，差异均有统计学意义（P〈O．05）。结论：对于前列腺增生患者而言，运用经尿道前列腺电切术的方式进行治疗不仅可有效减轻患者的经济与精神负担，且对提高患者的生活质量也具有重要的积极意义，值得推广。Objective： To analyze the clinical curative effect of different operation time and transurethral resection of prostate in patients with benign prostatic hyperplasia. Method： In our hospital in June 1, 2011- January 1, 2013 years were treated during 102 BPH patients, all the patients were complicated with disease diagnosis and treatment in detail, in the full assessment of basic operation tolerance of transurethral resection of the prostate. Result： This group of 102 patients after treatment, 7-14 d automatic micturition function recovered. The international prostate symptom score of patients by pre operation （ 33.6 ± 1.2 ） fall into （ 9.1 ±1.3 ） ; the maximal urinary flow rate by the operation of（ 6.5 ± 1.7 ） mL to （ 21.4 ± 4.9 ） mL; quality of life score by before operation （ 4.6 ± 0.3 ） rose to （ 6.9 ± 0.4 ）; residual urine volume decreased from （ 352.1 ± 0.5 ）mL before operation declined to （ 27.3 ±0.1 ） mL, compared with the index before operation, the differences were statistically significant （ P〈0.05 ） .Conclusion： For patients with benign prostatic hyperplasia, transurethral resection for the treatment of the way not only can effectively alleviate the economic and mental burden of patients, but also has a positive significance to improve the quality of life of patients, which is worthy of promotion.

关 键 词：前列腺增生 经尿道前列腺电切术 手术时机 疗效 

分 类 号：R699[医药卫生—泌尿科学]