经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的疗效比较分析  

The Comparative Analysis on Clinical Effect of Transurethral Prostatectomy and Electrotomy on Treating High-risk Benign Prostatic Hyperplasia

作　　者：李春光[1] 

机构地区：[1]长春市中医院总部外科,吉林长春130052

出　　处：《中外医疗》2017年第32期68-69,72,共3页China & Foreign Medical Treatment

摘　　要：目的分析经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的疗效,为临床治疗提供理论依据。方法方便选取该院2015年9月—2017年3月期间收治的174例高危良性前列腺增生患者作为研究对象,随机分为对照组和观察组,对照组患者给予电切术治疗,观察组患者给予经尿道前列腺剜除术治疗,分析两组患者的治疗效果和手术时间、手术中的出血量、术后膀胱冲洗时间、尿道停留时间、术后住院时间及手术并发症。结果观察组患者的治疗效果与对照组相比,两组Qmax、QOL及PVR分别为(21.47±1.95)m L/s、(1.58±0.17)分、(15.93±3.37)m L及(22.19±0.71)m L/s、(1.51±3.29)分、(16.16±0.15)m L差异无统计学意义(P>0.05);观察组手术时间、术后出血量、术后膀胱冲洗时间、尿管停留时间、住院时间分别为(52.13±10.73)min、(106.51±3.29)m L、(9.61±0.15)h、(4.4±1.70)d、(6.26±2.82)d,均低于对照组,两组结果比较,差异有统计学意义(P<0.05)。结论采用经尿道前列腺剜除术治疗高危良性前列腺增生,虽然临床疗效与电切术无差异,但是可以降低手术时间、手术中的出血量、术后膀胱冲洗时间、尿道停留时间及术后住院时间,并降低术后并发率,减轻患者痛苦,利于患者健康的恢复,值得在临床上应用推广。Objective This paper tries to analyze the clinical effect of transurethral prostatectomy and electrotomy on highrisk benign prostatic hyperplasia and to provide theoretical basis for clinical treatment. Methods 174 cases of high risk patients with benign prostatic hyperplasia treated in this hospital from September 2015 to March 2017 were selected as the research objects. The patients were randomly divided into the control group and the observation group. The patients in control group were given electrotomy treatment, and patients in the observation group were given transurethral prostatectomy. Then the curative effect and the operation time, intraoperative blood loss, postoperative bladder washing time, urinary retention time, postoperative hospital stay and complications of the two groups were compared. Results The comparison of the curative effect of the observation group and the control group, Qmax, QOL and PVR were（21.47 ±1.95）m L/s,（1.58±0.17）points,（15.93±3.37）m L and（22.19±0.71）m L/s,（1.51±3.29）points,（16.16±0.15）m L. There was no significant difference（P〈0.05）; the operation time, postoperative bleeding, postoperative bladder irrigation time, catheter retention time, hospitalization time of the observation group was（52.13±10.73）min,（106.51±3.29）m L,（9.61±0.15）h,（4.4±1.70）d,（6.26±2.82）d, lower than the control group, the difference was significant between the two groups（P〈0.05）. Conclusion There is no significant difference in the clinical effect of transurethral prostatectomy and electrotomy in the treatment of high-risk benign prostatic hyperplasia,but it can reduce the operation time, intraoperative blood loss, postoperative bladder washing time, urinary retention time and postoperative hospital stay, and decrease the rate of postoperative concurrent, and relieve patients＇ pain. It is conducive to the recovery of patients＇ health, and worth popularizing in clinical practice.

关 键 词：经尿道前列腺剜除术 电切术 高危良性前列腺增生 临床疗效分析 

分 类 号：R699[医药卫生—泌尿科学]