不同年龄患者行经尿道等离子前列腺剜除术的疗效及安全性评价

发布时间：2018-04-16 23:02

本文选题：经尿道等离子前列腺剜除术 + 前列腺增生症　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:研究年龄对经尿道等离子前列腺剜除术(PKEP)治疗前列腺增生症(BPH)的影响。评价经尿道等离子前列腺剜除术治疗不同年龄患者疗效及安全性。方法:收集山西医科大学第一医院2014年6月到2016年5月之间行经尿道等离子前列腺剜除术的前列腺增生症住院患者,将患者分为两组:非高龄组,年龄60~75岁,30例;高龄组,年龄75岁,30例。收集患者术前1周、术后2周及术后6月的国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(PVR)和生活质量评分(QOL)及两组手术时间、术中出血量、切除组织重量、术后住院时间、术后置管时间,手术参照标准手术步骤进行。采用SPSS 19.0统计学软件对数据进行处理,计数资料以率表示,采用X2检验;计量资料如服从正态分布,以(—X±S)表示,比较采用t检验;如不服从正态分布,则以(M±QR)表示,采用秩和检验。以P0.05认为差异有统计学意义。结果:1.高龄组(年龄在大于75岁)患者尿潴留(P=0.038 P0.05)的发生率显著增高,二者差距有显著性差异;2.非高龄组与高龄组的术后住院时间分别是5.1±1.4和6.2±2.1 P=0.02,二者有显著性差异(P0.05);3.非高龄组与高龄组的手术前和手术后IPSS、Qmax、PVR、Qol在统计学上有显著性差异,具有统计学意义(P0.05)。结论:经尿道等离子前列腺剜除术治疗不同年龄患者无明显差别,疗效和安全性确切。总之,经尿道等离子前列腺剜除术治疗老年前列腺增生症患者是一种安全有效的手术方式。
[Abstract]:Objective: to study the effect of age on the treatment of benign prostatic hyperplasia (BPH) by transurethral plasma enucleation of prostate (PKEPs).To evaluate the efficacy and safety of transurethral plasma enucleation of the prostate in patients of different ages.Methods: the inpatients with benign prostatic hyperplasia who underwent transurethral plasma enucleation of the prostate between June 2014 and May 2016 in the first Hospital of Shanxi Medical University were collected and divided into two groups: the non-elderly group (n = 30) and the elderly group (n = 30).30 cases were aged 75 years.The international prostatic symptom score (IPSS), maximal urinary flow rate (Qmaxus), residual urine volume (PVR) and quality of life score (QOLL) were collected 1 week before operation, 2 weeks after operation and 6 months after operation. The operative time, intraoperative bleeding volume, weight of resected tissue, and postoperative hospitalization time were collected.The time of catheterization after operation and the standard procedure of operation were carried out.SPSS 19.0 statistical software was used to process the data, the counting data was expressed as rate and X2 test was used; the measurement data, such as normal distribution, were expressed as -X 卤S, and the t test was used to compare the data, and if the normal distribution was not taken, the data were expressed as M 卤QR.Rank sum test was used.P0.05 thought the difference was statistically significant.The result is 1: 1.The incidence of urinary retention in elderly patients (aged more than 75 years) was significantly higher than that in patients with urinary retention (P < 75), and there was a significant difference between the two groups (P < 0.05).The postoperative hospitalization time was 5.1 卤1.4 and 6.2 卤2.1 P0. 02 in the non-elderly group and the elderly group, respectively. There was a significant difference between the two groups.Before and after operation, there was statistically significant difference between the non-elderly group and the elder group in IPSS Q maxPVRN Qol, which had statistical significance (P 0.05).Conclusion: transurethral plasma enucleation of the prostate has no significant difference in the treatment of patients of different ages.In conclusion, transurethral plasma enucleation of the prostate is a safe and effective procedure for elderly patients with benign prostatic hyperplasia.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699.8

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