经尿道前列腺电切术治疗良性前列腺增生症的临床效果分析

摘要

Objective To observe the efficacy and safety of transurethral resection of prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH). Methods In May 2014 to May 2016, selected 80 cases of patients with BPH uri-nary surgery in our hospital were studied. According to the method of drawing lots will be randomly divided into two groups, each group has 40 patients, control group were treated with open surgery for BPH treatment, patients in the treatment group treated by transurethral resection of prostate for the treatment, compared two groups of treatment effec-tive rate, operation time, intraoperative blood loss, hospitalization time, lien catheter time, postoperative complications and IPSS score, QOL score, RUV and Qmax clinical differences. Results The treatment efficiency of the treatment group (95%) was significantly higher than the control group (77.50%), P< 0.05; the treatment group the intraoperative bleeding volume, operation time, hospitalization time, complications and postoperative indwelling catheter time (115.63 ± 32.18) mL, (51.52 ± 5.73) min, (6.36 ± 1.28) d, (3.35 ± 0.58) d, 5.00%] was significantly less than the control group [(207.30 ± 38.83) mL, (70.47 ± 6.04) min, (7.34 ± 1.65) d, (5.67 ± 1.04) d, 22.50%], P< 0.05; after operation, the treatment group IPSS score, QOL score and RUV [(11.08 ± 1.24), (1.73 ± 0.31), (27.84 ± 4.82) mL] was significantly lower than the control group [(19.47 ± 3.61), (2.42 ± 0.47), (53.91 ± 6.49) mL], Qmax[(18.97 ± 2.85) mL/s] was signifi-cantly higher than the control group [(11.07 ± 2.14) mL/s], P < 0.05. Conclusion TURP treatment can relieve the symptoms of BPH, improve the urination of patients, promote the recovery of patients, and high safety, it is worthy of clinical popularization and application.%目的：观察经尿道前列腺电切术(TURP)治疗良性前列腺增生症(BPH)的疗效及安全性。方法2014年5月—2016年5月,选取该院泌尿外科收治的BPH患者80例,根据抽签方法将其随机划分为两组,每组各有40例,对照组接受前列腺开放手术治疗,治疗组接受TURP治疗,对比两组的治疗有效率、手术时间、术中出血量、住院时间、留置尿管时间、术后并发症以及IPSS评分、QOL评分、RUV与Qmax的临床差异。结果治疗组的治疗有效率(95.00%)明显高于对照组(77.50%),P<0.05；治疗组的术中出血量、手术时间、住院时间、留置尿管时间及术后并发症[(115.63±32.18)mL,(51.52±5.73)min,(6.36±1.28)d,(3.35±0.58)d,5.00%]明显少于对照组[(207.30±38.83)mL,(70.47±6.04)min,(7.34±1.65)d,(5.67±1.04)d,22.50%],P<0.05；术后,治疗组的IPSS评分、QOL评分及RUV[(11.08±1.24)分、(1.73±0.31)分、(27.84±4.82)mL]明显低于对照组[(19.47±3.61)分、(2.42±0.47)分、(53.91±6.49)mL],Qmax[(18.97±2.85)mL/s]明显高于对照组[(11.07±2.14)mL/s],P<0.05。结论 TURP治疗可缓解BPH症状,改善患者排尿,促进患者恢复,且安全性较高,值得临床推广及应用。