经直肠超声电导中药透入对小体积BPH患者组织学前列腺炎及TURP术后LUTS的影响

发布时间：2018-05-20 15:03

本文选题：良性前列腺增生 + 组织学前列腺炎　；参考：《中华男科学杂志》2017年05期

【摘要】：目的:探讨经直肠超声电导中药透入法对小体积BPH患者组织学前列腺炎及TURP术后LUTS的疗效。方法:将2012年3月至2015年2月确诊为BPH且无手术禁忌症患者167例随机分为两组(对照组83例和试验组84例),两组患者年龄、前列腺体积、国际前列腺症状评分(IPSS)、生活质量指数评分(Qo L)之间的差异无统计学意义(P0.05)。试验组先行经直肠超声电导中药透入治疗,每日1次,共7次,后择期行TURP;对照组常规行TURP。术后前列腺组织送病理检查,对两组患者的组织学炎症分级及术后4周IPSS、QoL评分进行比较。结果:试验组患者无炎症者12例(14.3%)、轻度炎症者43例(51.2%)、中度炎症者28例(33.3%)及重度炎症者1例(1.2%),对照组分别为8例(9.6%)、28例(33.7%)、45例(51.8%)及2例(2.4%),差异有统计学意义(P0.05);术后4周试验组和对照组IPSS、QoL评分分别为(4.26±2.64)、(1.25±1.64)和(7.02±4.15)、(2.05±1.95)分,均较术前明显改善(P0.05),且试验组较对照组改善更显著,差异有统计学意义(P0.05)。结论:经直肠超声电导中药透入法能明显改善小体积BPH患者的组织学炎症及TURP术后的LUTS,提高术后生活质量,效果满意,值得临床推广。
[Abstract]:Objective: to investigate the effect of transrectal ultrasound permeation of traditional Chinese medicine on small volume BPH patients with histological prostatitis and LUTS after TURP. Methods: from March 2012 to February 2015, 167 patients with BPH and no contraindication were randomly divided into two groups: control group (83 cases) and experimental group (84 cases). There was no significant difference in quality of life score (QO L) between IPSS and QO L scores (P 0.05). The experimental group was treated with transrectal ultrasound and conductance of traditional Chinese medicine (TURP7 times per day), and the control group was treated with TURP (TURP). The histologic inflammation grade and the score of IPSS QoS at 4 weeks after operation were compared between the two groups. Results: there were 12 cases without inflammation in the test group, 43 cases with mild inflammation, 28 cases with moderate inflammation, and 1 case with severe inflammation. In the control group, there were 8 cases (28 cases) and 2 cases (2.44%) and 2 cases (P 0.05), respectively, and there was a significant difference between the two groups (P 0.05), and 4 weeks after operation, there was significant difference between the two groups in the control group (n = 8) and in the control group (n = 8, n = 28) and in the control group (n = 28, n = 28) and 2 cases (n = 2), with a significant difference (P < 0.05). The scores of IPSS QoS in test group and control group were 4.26 卤2.64 卤1.25 卤1.64) and 7.02 卤4.15 卤2.05 卤1.95, respectively. All of them were significantly improved compared with those before operation, and the improvement in the test group was more significant than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: transrectal ultrasound permeation with traditional Chinese medicine can significantly improve the histological inflammation of small volume BPH patients and LUTSafter TURP, improve the quality of life after operation, and the effect is satisfactory. It is worth popularizing in clinic.
【作者单位】：寿光市中医医院泌尿外科;潍坊市中医院泌尿外科;
【分类号】：R699.8

【相似文献】