改良通道法经尿道电切治疗高危前列腺增生患者的临床效果  

Clinical effects of modified transurethral resection in the treatment for patients with high-risk benign prostatic hyperplasia

作　　者：陈锡彬[1] 王乐浩 CHEN Xibin;WANG Lehao(Department of Urology,Shantou Second People's Hospital,Guangdong,Shantou 515000,China)

机构地区：[1]广东省汕头市第二人民医院泌尿外科,广东汕头515000

出　　处：《中国医药科学》2020年第8期244-247,共4页China Medicine And Pharmacy

基　　金：广东省汕头市科技计划医疗卫生类别项目(181026084016543)。

摘　　要：目的观察分析改良通道法经尿道电切治疗高危前列腺增生患者的临床效果。方法选取2016年4月~2018年4月汕头市第二人民医院临床符合高危前列腺增生症的48例患者展开研究,随机分为各24例的对照组和观察组。对照组行常规经尿道电切术治疗,观察组行改良通道法经尿道电切治疗,比较分析两组患者的手术情况、QOL、RUV、I-PSS及Qmax各指标改善情况,患者的术后并发症发生情况。结果观察组手术时长、膀胱冲洗时长、术中出血量、术后住院时间较对照组明显少,差异有统计学意义(P<0.05),观察组较对照组切除腺体重量略多,差异无统计学意义(P>0.05);观察组术后的QOL、RUV、I-PSS及Qmax各指标改善情况较对照组略好,差异无统计学意义(P>0.05);观察组临床并发症发生率较对照组略高,差异无统计学意义(P>0.05)。结论通过对高危前列腺增生患者行改良通道法经尿道电切术治疗,临床效果显著,可以有效缩减手术时间及术后住院时间,并减少术中出血量及术后膀胱冲洗时间,具有临床推广意义。Objective To observe and analyze the effects of modified transurethral resection in the treatment for patients with high-risk benign prostatic hyperplasia(BPH).Methods 48 patients with high-risk BPH treated in the Second People's Hospital of Shantou from April 2016 to April 2018 were selected and randomly divided into two groups,with 24 cases in each group.The control group was given conventional transurethral resection,and the observation group was given modified transurethral resection.The surgical conditions,quality of life(QOL),residual urine volume(RUV),International Prostate Symptom Score(I-PSS),Qmax and complications of the two groups were compared and analyzed.Results The operation time,bladder irrigation time,intraoperative bleeding,and postoperative hospital stay in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).The resection gland weight in the observation group was greater than that in the control group,and the difference was not statistically significant(P>0.05).The improvement of QOL,RUV,I-PSS,and Qmax indicators in the observation group was slightly better than that in the control group,and the difference was not statistically significant(P>0.05).The incidence of clinical complications in the observation group was slightly higher than that in the control group,and the difference was not statistically significant(P>0.05).Conclusion Modified transurethral resection for patients with high-risk BPH has significant clinical effects,which can effectively shorten the operation time and postoperative hospital stay,and reduce the amount of intraoperative bleeding and postoperative bladder irrigation time.It is worthy of clinical promotion.

关 键 词：改良通道法 经尿道电切术 高危前列腺增生 术中出血量 

分 类 号：R699[医药卫生—泌尿科学]