低容量经尿道前列腺电切术对高危良性前列腺增生的疗效研究  

Low-volume Transurethral Resection of the Prostate in the Treatment of High-risk Benign Prostatic Hyperplasia

作　　者：张素军[1] ZHANG Su-jun(Department of Urology,Central Hospital of Zibo Mining Group Co.,Ltd.Zibo,Shandong Province,255120 China)

机构地区：[1]淄博矿业集团有限责任公司中心医院泌尿外科,山东淄博255120

出　　处：《中外医疗》2020年第25期50-52,共3页China & Foreign Medical Treatment

摘　　要：目的探究低容量经尿道前列腺电切术对高危良性前列腺增生的治疗效果。方法方便选取2018年2月—2019年11月期间该院收治的高危良性前列腺增生患者共86例为研究对象,根据数字表法进行随机分组,对照组患者43例,观察组患者43例,对照组开展标准经尿道前列腺电切术治疗,观察组开展低容量经尿道前列腺电切术治疗,比较两组患者手术指标、住院时间、IPSS评分、最大尿流量、术后并发症发生率以及临床治疗总有效率。结果观察组患者术后膀胱冲洗时间(1.16±0.23)d、住院时间(3.36±1.15)d少于对照组(3.42±0.34)d、(6.72±1.34)d,IPSS评分(6.65±1.42)分低于对照组(8.76±1.54)分,最大尿流量(22.31±2.36)mL/s高于对照组(15.42±2.17)mL/s,差异有统计学意义(t=36.103、12.478、6.605、14.093,P<0.05);观察组患者术后并发症发生率4.65%低于对照组20.93%,临床治疗总有效率93.02%高于对照组74.42%,差异有统计学意义(χ^2=5.108、5.460,P<0.05)。结论针对高危良性前列腺增生患者行低容量经尿道前列腺电切术治疗效果确切,有较高的安全性,可对患者的病情进行显著改善,因此可在临床中针对该术式进行推广应用。Objective To explore the therapeutic effect of low-volume transurethral resection of the prostate on high-risk benign prostatic hyperplasia. Methods A total of 86 patients with high-risk benign prostatic hyperplasia admitted to the hospital from February 2018 to November 2019 were convenient selected as the research objects, and randomized according to the number table method. Among them, 43 patients were in the control group and 43 patients in the observation group.The control group was treated with standard transurethral resection of the prostate, and the observation group was treated with low-volume transurethral resection of the prostate. The surgical indicators, length of stay, IPSS score, maximum urine flow, postoperative complication rate and clinical practice were compared between the two groups. The treatment was always effective. Results The postoperative bladder irrigation time(1.16 ±0.23)d and hospitalization time(3.36 ±1.15)d of the observation group were less than the control group(3.42±0.34)d,(6.72±1.34)d, and the IPSS score(6.65±1.42)points was lower than the control group(8.76±1.54)points, the largest Urine flow(22.31±2.36)mL/s was higher than the control group(15.42±2.17)mL/s, the difference was statistically significant after comparison(t=36.103,12.478,6.605,14.093, P<0.05);the postoperative complication rate of the observation group was 4.65%, which was lower than the 20.93% of the control group,and the total effective rate of clinical treatment was 93.02%, which was higher than 74.42% of the control group, and the difference was statistically significant(χ^2=5.108, 5.460, P<0.05). Conclusion Low-volume transurethral resection of prostate for high-risk patients with benign prostatic hyperplasia has a definite effect, high safety, and can significantly improve the patient’s condition. Therefore, it can be promoted and applied in clinical practice.

关 键 词：低容量 经尿道前列腺电切术 高危良性前列腺增生 

分 类 号：R714.258[医药卫生—妇产科学]