选择性前列腺切除与膀胱颈切开联用治疗小体积前列腺增生

Selective resection of prostate and bladder neck incision on patients with benign prostatic hyperplasia of small volume

目的:探讨选择性前列腺切除与膀胱颈切开联用治疗小体积前列腺增生的治疗效果。方法:选取2007年2月～2010年12月于本院进行治疗的260例小体积前列腺增生患者为研究对象,将其随机分为观察组(选择性前列腺切除与膀胱颈切开联用组)126例和对照组(选择性前列腺切除组)134例,后将两组患者治疗前后的前列腺症状评分(IPSS)、不良反应及生活质量评分(QOL)进行统计及比较。结果:观察组治疗前后的前列腺症状评分(IPSS)及生活质量评分(QOL)均显示,改善程度均高于对照组,P<0.05或P<0.01,差异有统计学意义或差异有显著统计学意义,而不良反应发生率两组患者比较,P>0.05,差异无统计学意义。结论:选择性前列腺切除与膀胱颈切开联用治疗小体积前列腺增生效果明显,值得推广应用。

Objective：To investigate the selective removal of the prostate and bladder neck incision on patients with small-volume treatment of benign prostatic hyperplasia.Methods：Study the 260 cases of benign prostatic hyperplasia of small volume from February 2007 to December 2010 in our hospital for treatment.Divided them randomly into two groups（selective removal of the prostate and bladder neck incision combined with group） 126 cases and the control group（selective prostate resection group） 134 patients,and mark two groups of patients before and after treatment for prostate symptom score（IPSS）,adverse reactions and quality of life scores（QOL） for statistical and comparative.Results：Scores（IPSS） before and after treatment for prostate symptom and scores（QOL） quality of life had shown improvement were higher,P〈0.05 or P〈0.01.They had significant difference or had a very significant difference.The incidence of adverse reactions compared two groups of patients,P〉0.05.There was no significant difference.Conclusion：The selective removal of the prostate and bladder neck incision on patients with benign prostatic hyperplasia of small volume effect is obvious,should be widely applied.