经尿道前列腺电切术对良性前列腺增生的效果  

Effect of Transurethral Resection of Prostate on Benign Prostatic Hyperplasia

作　　者：陈波 CHEN Bo(Department of General Surgery,Xiangyang Hospital of Traditional Chinese Medicine,Xiangyang Hubei 441000,China)

机构地区：[1]襄阳市中医医院普泌外科,湖北襄阳441000

出　　处：《中国继续医学教育》2020年第10期99-101,共3页China Continuing Medical Education

摘　　要：目的 探讨经尿道前列腺电切术治疗良性前列腺增生临床疗效.方法 选择2016年5月—2018年11月80例良性前列腺增生患者,随机分组.开放性前列腺电切手术组选择常规开放性前列腺电切手术,经尿道前列腺电切术组选择经尿道前列腺电切术.分析手术失血量、手术平均耗时、尿管留置耗时和住院耗时;治疗前后患者生活质量评分、IPSS评分以及最大尿流率;继发性出血、尿潴留以及膀胱痉挛发生率.结果 经尿道前列腺电切术组效果、生活质量评分、IPSS评分以及最大尿流率、手术失血量、手术平均耗时、尿管留置耗时和住院耗时、继发性出血、尿潴留以及膀胱痉挛发生率和开放性前列腺电切手术组比较有优势,P<0.05.结论 良性前列腺增生患者实施经尿道前列腺电切术可获得较好效果.Objective To investigate the clinical effect of transurethral resection of the prostate on benign prostatic hyperplasia.Methods 80 patients with benign prostatic hyperplasia from May 2016 to November 2018 were randomly divided into two groups.The open prostate resection group was treated with conventional open prostate resection,and the transurethral prostate resection group was treated with transurethral prostate resection.The blood loss,average operation time,indwelling time and hospitalization time,quality of life score,IPSS score and maximum urinary flow rate before and after treatment,secondary hemorrhage,urinary retention and bladder spasm were analyzed.Results Transurethral resection of the prostate group had advantages in terms of effect,quality of life score,IPSS score,maximum urinary flow rate,operative blood loss,average operation time,indwelling time and hospitalization time,secondary bleeding,urinary retention,incidence of bladder spasm and open resection of the prostate group,P<0.05.Conclusion Transurethral resection of the prostate can achieve better results in patients with benign prostatic hyperplasia.

关 键 词：经尿道前列腺电切术 良性前列腺增生 临床疗效 膀胱痉挛 尿潴留 手术失血 

分 类 号：R697[医药卫生—泌尿科学]