经尿道前列腺汽化术联合电切术治疗高龄巨大前列腺增生38例疗效观察

Observation on Curative Effect of 38 Cases with Advanced Age and Giant Prostatic Hyperplasia on the Treatment of Transurethral Prostate Vaporization Combined with Transurethral Resection

目的:观察经尿道前列腺汽化术联合电切术治疗高龄巨大前列腺增生的临床效果。方法:分析我院收治的38例高龄巨大前列腺增生患者采用经尿道前列腺汽化术联合电切术治疗的临床资料,探讨该方法治疗巨大前列腺增生的临床效果。结果:手术时间平均(63±8)min,切除前列腺平均(45±5.8)g,术中失血量平均(209±18)mL,术后排尿通畅,无尿失禁、尿道狭窄、膀胱颈挛缩、输血及电切综合征等并发症;术前前列腺症状评分平均(28.4±3.4)分、生活质量评分平均(4.5±1.3)分、最大尿流率平均(8.9±3.1)mL,剩余尿量平均(140±26)mL;术后前列腺症状评分平均(9.7±1.1)分。生活质量评分平均(2.5±0.7)分,最大尿流率平均(23.6±5.7)mL,剩余尿量平均(19±9)mL,上述指标术前术后比较具有显著性差异(P值均﹤0.05),具有统计学意义。结论:经尿道前列腺汽化术联合电切术治疗高龄巨大前列腺增生临床效果显著,是两者优点的集中体现,值得临床借鉴。

Objective： To observe the clinical effect of transurethral prostate vaporization combined with transurethral resection to treat advanced age and giant prostatic hyperplasia.Method： Analyzing the clinical data of 38 patients with advanced age and giant prostatic hyperplasia treated with transurethral prostate vaporization combined with transurethral resection,and study the clinical effect.Result： The average operation time was（63±8）min,the average resection of prostate was（45±5.8）g.and the average volume of intraoperative blood loss was（209±18） mL.After operation,voiding was unobstructed,and there was no complications such as urinary incontinence,urethral stricture,bladder neck contracture,blood transfusion and transurethral resection syndrome.Before operation,the average prostate symptom score was（28.4±3.4）score,the average life quality score was（4.5±1.3） branch,the average maximum urinary flow rate was（8.9±3.1） ml and the average residual urine volume was（140±26）mL.After operation,the average prostate symptom score was（9.7±1.1） score,the average life quality score was（2.5±0.7） branch,the average maximum urinary flow rate was（23.6±5.7）mL and the average residual urine volume was（19±9）mL.The difference of the indexes above was significant（P0.05）,which had statistical significance.Conclusion： The clinical effect of transurethral vaporization of the prostate combined with transurethral resection to treat advanced age and giant prostatic hyperplasia is significant and is the embodiment of advantages of both,which is worthy of clinical application.