出 处:《中国医学创新》2019年第2期116-119,共4页Medical Innovation of China
摘 要:目的:研究前列腺增生症患者应用经尿道前列腺电切手术治疗的临床效果及对患者QOL评分的影响。方法:选取2016年2月-2018年2月到本院治疗的前列腺增生症患者200例作为研究对象,按照随机数字表法将其分为对照组和研究组,各100例。对照组应用传统开放手术进行治疗,研究组应用经尿道前列腺电切手术进行治疗,比较两组的治疗效果、手术前后的生活质量(QOL)、国际前列腺症状(IPSS)评分与尿动力学指标水平、各项临床指标及术后并发症发生情况。结果:研究组总有效率为92.0%明显高于对照组的77.0%,差异有统计学意义(x^2=8.589,P=0.003)。手术前两组的QOL、IPSS评分与尿动力学指标水平比较,差异均无统计学意义(P>0.05);手术后,研究组的残余尿量水平、QOL、IPSS评分均明显低于对照组,Qmax水平明显高于对照组,差异均有统计学意义(P<0.05)。研究组的尿路狭窄、暂时性尿失禁以及勃起功能障碍并发症的发生率均明显低于对照组,差异均有统计学意义(P<0.05)。研究组术中出血量、手术时间均明显少于对照组,差异均有统计学意义(P<0.05);但两组住院时间比较,差异无统计学意义(P>0.05)。结论:在前列腺增生症的治疗过程当中,经尿道前列腺电切手术的治疗效果理想,可以显著缓解症状,改善患者QOL评分,其术中出血量少、手术时间短、安全性较高,因此临床上应当进一步推广与应用。Objective:To study the clinical effect of transurethral resection of prostate in patients with benign prostatic hyperplasia and its influence on QOL score of patients.Method:A total of 200 patients with benign prostatic hyperplasia who were treated in our hospital from February 2016 to February 2018 were selected as the research objects.According to the random number table method,they were divided into control group and study group,100 cases in each group.The control group was treated with traditional open surgery,the study group was treated with transurethral resection of the prostate.The treatment effect,quality of life(QOL),international prostate symptoms scores(IPSS)and urodynamic indexes before and after operation,clinical indicators and postoperative complications between the two groups were compared.Result:The total effective rate in the study group was 92.0%,which was significantly higher than 77.0%in the control group,the difference was statistically significant(χ^2=8.589,P=0.003).There were no significant differences in QOL and IPSS scores between the two groups before operation(P>0.05).After operation,the residual urine volume,QOL and IPSS scores of the study group were significantly lower than those of the control group,the Qmax level was significantly higher than that of the control group,the differences were statistically significant(P<0.05).The incidences of urinary stricture,temporary incontinence and erectile dysfunction complications in the study group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The intraoperative bleeding volume and operation time in the study group were significantly less than those in the control group,the differences were statistically significant(P<0.05),but there was no significant difference in hospitalization time between the two groups(P>0.05).Conclusion:The treatment effect of transurethral resection of prostate in the treatment of benign prostatic hyperplasia is ideal,which can significantly alleviat
关 键 词:前列腺增生症 经尿道前列腺电切手术 QOL评分
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