良性前列腺增生症行汽化切割术的效果分析  

Effect analysis of vaporization resection in benign prostatic hyperplasia

作　　者：塔娜 TA Na(Department of Urology,Affiliated Hospital of Inner Mongolia University for Nationalities,Tongliao 028000,China)

机构地区：[1]内蒙古民族大学附属医院泌尿外科,028000

出　　处：《中国现代药物应用》2022年第17期57-59,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析良性前列腺增生症(BPH)行汽化切割术的临床效果。方法60例良性前列腺增生症患者,随机分为对照组和观察组,各30例。对照组患者采取前列腺开放性切除手术,观察组采取汽化切割术。比较两组患者手术时间、出血量、导尿管留置时间、住院时间、术后并发症发生情况及治疗前后最大尿流率、国际勃起功能评分表(IIEF-5)评分以及国际前列腺症状评分表(IPSS)评分。结果观察组手术时间、导尿管留置时间、住院时间均短于对照组,出血量少于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率10.00%低于对照组的33.33%,差异有统计学意义(P<0.05)。治疗后,观察组最大尿流率(16.51±4.21)ml/s、IIEF-5评分(23.56±3.21)分及IPSS评分(8.19±1.33)分均优于对照组的(13.12±2.68)ml/s、(21.89±2.82)分、(13.12±2.12)分,差异有统计学意义(P<0.05)。结论良性前列腺增生症行汽化切割术效果优于前列腺开放性切除手术,其创伤较小,可有效减少出血量,缩短手术时间,改善临床症状,提高手术的安全性。Objective To analyze the clinical effect of vaporization resection in benign prostatic hyperplasia(BPH).Methods A total of 60 patients with benign prostatic hyperplasia were randomly divided into control group and observation group,with 30 cases in each group.The control group received open prostatectomy,and the observation group received vaporization resection.Both groups were compared in terms of operation time,blood loss,catheter indwelling time,hospitalization time,incidence of postoperative complications,maximum urinary flow rate,International Index of Erectile Function-5(IIEF-5)score and the International Prostate Symptom Score(IPSS)score before and after treatment.Results The operation time,catheter indwelling time,and hospitalization time of the observation group were shorter than those of the control group,and the blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications 10.00%in the observation group was lower than 33.33%in the control group,and the difference was statistically significant(P<0.05).After treatment,the maximum urinary flow rate(16.51±4.21)ml/s,IIEF-5 score(23.56±3.21)points and IPSS score(8.19±1.33)points in the observation group were better than(13.12±2.68)ml/s,(21.89±2.82)points and(13.12±2.12)points in the control group,and the differences were statistically significant(P<0.05).Conclusion In the surgical treatment of benign prostatic hyperplasia,vaporization resection is better than open prostatectomy,which is less invasive,can effectively reduce blood loss,shorten the operation time,improve clinical symptoms,and increase the safety of the operation.

关 键 词：良性前列腺增生症 汽化切割术 尿流率 勃起功能 

分 类 号：R699.8[医药卫生—泌尿科学]