膀胱造瘘术联合改良尿道腔内剜除术治疗老年前列腺增生的疗效分析  

Curative Effect Analysis of Cystostomy Combined with Modified PlasmaKinetic Enucleation of Prostate in the Treatment of Senile Benign Prostatic Hyperplasia

作　　者：赵海洋 Zhao Hai-yang(Department of Urology,Guangrao County People's Hospital,Dongying 257300,Shandong Province,China)

机构地区：[1]广饶县人民医院泌尿外科,山东东营257300

出　　处：《中外医药研究》2023年第6期37-39,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析膀胱造瘘术联合改良尿道腔内剜除术(M-PKEP)治疗老年前列腺增生的效果。方法:选取2020年6月—2021年6月广饶县人民医院收治老年前列腺增生患者100例进行回顾性分析,根据手术方式不同将其分成四组,各25例。研究1组行经尿道前列腺电切术(TURP),研究2组行膀胱造瘘术联合TURP,研究3组行M-PKEP,研究4组行膀胱造瘘术联合M-PKEP。比较四组手术情况,手术前、手术后3个月和手术后6个月国际前列腺症状评分(IPSS)、残余尿量(RUV)及最大尿流率(Qmax)指标水平。结果:四组术中出血量、膀胱冲洗时间及术后住院时间比较,差异有统计学意义(P<0.001),研究4组术中出血量、冲洗膀胱时间及手术后住院时间情况最佳。与手术前比较,术后3、6个月四组IPSS及RUV均下降,Qmax上升,差异有统计学意义(P<0.05),研究4组IPSS、RUV值最低,Qmax最高。术后6个月,四组IPSS及Qmax水平比较,差异无统计学意义(P>0.05),四组RUV比较,差异有统计学意义(P=0.001)。结论:膀胱造瘘术联合M-PKEP治疗前列腺增生可以明显提升临床治疗效果。Objective:To analyze the effect of cystostomy combined with modified plasmakinetic enucleation of prostate(M-PKEP)in the treatment of senile benign prostatic hyperplasia.Methods:A retrospective analysis was performed on one hundred elderly patients with benign prostatic hyperplasia admitted to Guangrao County People's Hospital from June 2020 to June 2021.They were divided into four groups according to different operation methods,with twenty-five cases in each group.Study group 1 underwent transurethral resection of the prostate(TURP),study group 2 underwent cystostomy combined with TURP,study group 3 underwent M-PKEP,and study group 4 underwent cystostomy combined with M-PKEP.The operation conditions,the index levels of International Prostate Symptom Score(IPSS),residual urine volume(RUV)and maximum urinary flow rate(Qmax)before operation,3 months after operation and 6 months after operation of the four groups were compared.Results:There were statistically significant differences in intraoperative blood loss,bladder flushing time and postoperative hospital stay among the four groups(P<0.001).The intraoperative blood loss,bladder flushing time and postoperative hospital stay in the study group 4 were the best among the four groups studied.Compared with before operation,the IPSS and RUV of the four groups decreased at 3 and 6 months after operation,and Qmax increased,and the difference was statistically significant(P<0.05).The values of IPSS and RUV were the lowest and Qmax was the highest in the study group 4.6 months after operation,there was no significant difference in IPSS and Qmax levels among the four groups(P>0.05).There was a statistically significant difference between the four groups in RUV(P=0.001).Conclusion:Cystostomy combined with M-PKEP in the treatment of benign prostatic hyperplasia can significantly improve the clinical effect.

关 键 词：前列腺增生 残余尿量 最大尿流率 膀胱造瘘术 改良尿道腔内剜除术 

分 类 号：R69[医药卫生—泌尿科学]