剜除术与电切术治疗超大前列腺增生的临床疗效分析

发布时间：2019-08-14 12:18

【摘要】：目的比较分析剜除术与电切术治疗超大前列腺增生的临床疗效。方法选择2012年3月至2015年3月该院泌尿外科收治的96例超大良性前列腺增生患者为研究对象,将其分为观察组和对照组,每组48例。观察组采用经尿道前列腺等离子剜除术,对照组采用经尿道前列腺电切术。比较两组的平均手术时间、术中出血量、术后膀胱冲洗时间、平均住院时间、手术并发症,以及手术前与术后6月的前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿量(RUV)的变化。结果观察组平均手术时间(100.0±3.5)min、术中出血量(161.0±9.2)mL、术后膀胱冲洗时间(15.2±1.2)h、平均住院时间(10.8±2.6)d、手术并发症数(6例)均明显低于对照组平均手术时间(132.0±4.2)min、术中出血量(198.0±12.1)mL、术后膀胱冲洗时间(36.8±1.3)h、平均住院时间(13.6±2.9)d、手术并发症数(18例),差异有统计学意义(P0.05)。两组治疗6个月后的IPSS、QOL、Qmax、RUV较术前均有明显改善(P0.05),两组间术前、术后比较差异无统计学意义(P0.05)。结论经尿道前列腺等离子剜除术与经尿道前列腺电切术均为治疗超大前列腺增生的有效手术方法,但经尿道前列腺等离子剜除术手术时间短,术中出血量较少,手术并发症少,更值得临床推广和应用。
[Abstract]:Objective to compare the clinical efficacy of enucleation and electroresection in the treatment of hyperprostatectomy. Methods from March 2012 to March 2015, 96 patients with super large benign prostatic hyperplasia (BPH) were divided into observation group (n = 48) and control group (n = 48). Transurethral plasma enucleation of prostate was used in the observation group and transurethral resection of the prostate in the control group. The average operation time, intraoperative bleeding volume, postoperative bladder irrigation time, average hospitalization time, surgical complications, and the changes of (QOL), maximum urinary flow rate (Qmax), residual urine volume (RUV) were compared between the two groups. The prostate symptom score (IPSS), quality of life score before and 6 months after operation was compared. Results in the observation group, the average operation time was (100.0 卤100.0) min, the intraoperative bleeding volume was (161.0 卤9.2) mL, the average hospitalization time was (10.8 卤2.6) days, and the number of complications (6 cases) was significantly lower than that in the control group (132.0 卤4.2) min, (198.0 卤12.1) mL, and (36.8 卤1.31) hours. The average hospitalization time was (13.6 卤2.9) days, and the number of surgical complications (18 cases) was statistically significant (P 0.05). After 6 months of treatment, the IPSS,QOL,Qmax,RUV of the two groups was significantly improved compared with that before operation (P 0.05), but there was no significant difference between the two groups before and after operation (P 0.05). Conclusion TURP and TURP are effective methods for the treatment of hyperprostatectomy, but the operation time is short, the amount of intraoperative blood loss is less, and the complications are less, which is worth popularizing and applying in clinic.
【作者单位】：重庆市长寿区人民医院泌尿外科;
【分类号】：R699.8

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