经尿道前列腺电切术后患者排尿顺畅的措施和临床分析  

Clinical analysis and measures on voiding smoothly symptoms of patients following transurethral prostatic resection

作　　者：杜广[1] 杨登科[1] 黄翼然[2] 

机构地区：[1]上海市长宁区同仁医院泌尿外科,200335 [2]上海交通大学医学院附属仁济医院泌尿外科,200025

出　　处：《检验医学与临床》2013年第23期3091-3092,共2页Laboratory Medicine and Clinic

基　　金：国家自然科学基金资助项目(91129725)

摘　　要：目的观察经尿道前列腺电切术后,良性前列腺增生患者排尿症状的改变情况及临床分析。方法选择上海市长宁区同仁医院2008年3月至2013年3月收治的100例良性前列腺增生患者为研究对象,对患者的术前和术后排尿症状,如国际前列腺症状评分(IPSS)和生活质量(QOL)评分等进行评定。结果术前IPSS为(23±8)分、QOL评分为(5.2±1.2)分、平均梗阻症状评分为(3.9±1.2)分及平均刺激症状评分为(3.8±0.9)分;术后IPSS为(9±2)分、QOL评分为(1.5±0.9)分、平均梗阻症状评分(2.1±1.1)分及平均刺激症状评分为(1.4±0.8)分,术后与术前相比,各项指标均有明显改善,差异有统计学意义(P<0.05)。结论良性前列腺增生患者经尿道前列腺电切术后,排尿症状得到明显改善,值得临床推广应用。Objective To observe and analysis the voiding symptom changes in patients with benign prostatic hyperplasia after transurethral prostatic resection. Methods 100 cases of patients with benign prostatic hyperplasia were chosen in Tongren hospital of Shanghai Changning district from March 2008 to March 2013, whose postopera- tive International prostate symptom score（IPSS） and quality of life（QOL） score were compared with those of pre-op- eration. Results Before operation,mean IPSS was（23±8）,QOL was（5.2±1.2）,mean obstructive symptom score was（3.9 ± 1.2）, mean mieturition symptom score was（3.8 ± 0.9）. After transurethral prostatic resection, mean IPSS was （ 9 ± 2）, QOL was （ 1.5± 0.9）, mean obstructive symptom score was （2.1 ：±1.1）, mean micturition symptom score was（1.4 ± 0.8）, which were significantly decreased compared with those of pre-operation （P 〈 0.05 ）. Conclusion The patients with benign prostatic hyperplasia voiding symptoms have obvious improvement after TURP. It could be worthy of application in clinic.

关 键 词：良性前列腺增生 排尿症状 临床分析 

分 类 号：R699.8[医药卫生—泌尿科学]