前列灌洗液对选择性绿激光前列腺汽化术后近期并发症的疗效观察

摘要

目的 观察前列灌洗液对选择性绿激光前列腺汽化术(PVP)后近期并发症的临床疗效.方法 将良性前列腺增生症行绿激光手术患者共61例,随机分为治疗组31例和对照组30例,治疗组采用前列灌洗液、对照组用生理盐水于PVP术后进行持续膀胱冲洗.观察两组患者各时间点尿液红细胞、白细胞计数；24 h内膀胱痉挛次数；并随访患者术后血尿、尿道刺激症状的情况,进行疗效评价.结果 治疗组各时间点尿液红细胞、白细胞计数均较对照组明显减少,差异具有统计学意义(P＜0.05,P＜0.01).治疗组24h膀胱痉挛次数少于对照组,差异具有统计学意义(P＜0.05).治疗组术后3月内血尿、尿道刺激症状较对照组差异具有统计学意义(P＜0.01,P＜0.05).结论 前列灌洗液具有清热解毒、凉血止血、收敛止痛的作用,用于PVP术后膀胱灌注冲洗能很好地减少术后并发症,改善患者生活质量,值得临床推荐应用.%Objective To observe the clinical curative effect of Qianlie Irrigating Solution in the short-term postoperative complications of photoselective vaporization of the prostate (PVP).Methods 61 patients of benign prostatic hyperplasia were randomly divided into treatment group (31 cases) and control group(30 cases).Qianlie Irrigating Solution was used in treatment group,and physiological saline was used in control group for continuous bladder irrigation after PVP.Red blood cells and white blood cells in urine were observed at each time point and cystospasm frequency within 24 hours in the two groups.And the hematuria and urethra irritation were followed up to evaluate curative effects.Results Urine red blood cells and white blood cells at each time point in treatment group were significantly reduced compared with the control group (P<0.05,P< 0.01).And the cystospasm frequency within 24 hours in treatment group was significantly lessen than that in control group (P<0.05).There was statistically significance in postoperative hematuria and urethra irritation between treatment group and control group(P<0.01,P<0.05).Conclusion Qianlie Irrigating Solution has the effects of clearing heat,detoxification,removing heat from blood to arrest bleeding and astringency.Continuous bladder irrigation after PVP can well reduce postoperative complications and improve patients'quality of life,and worthy recommending in clinic.