改良式电切术对高危良性前列腺增生的临床观察

Clinical observation of modified transurethral resection on highrisk benign prostatic hyperplasia

目的：探讨改良式电切术对高危良性前列腺增生的临床疗效。方法选择我院2011年6月～2013年6月间收治的80例高危良性前列腺增生患者作为观察对象，随机分为两组，对照组40例，使用传统的经尿道前列腺电切术进行治疗，观察组40例，使用改良式的经尿道前列腺电切术进行治疗，然后观察两组患者手术时间，术中出血量以及并发症发生情况，并进行比较分析。结果经过分析显示，观察组患者的手术时间及术中出血量明显少于对照组（P＜0.05），而两组在最大尿流率和残余尿量上相比（P＞0.05）。同时，观察组的假性尿失禁，电切综合征及穿孔等并发症明显少于对照组（P＜0.05）。结论使用改良式电切术对高危良性前列腺增生进行治疗，不仅可以提高高危良性前列腺增生的临床疗效，同时也可以提高临床高危良性前列腺增生手术治疗的安全性，应当予以临床推广。

Objective To explore the clinical efficacy of modified transurethral resection on high-risk benign prostatic hyperplasia. Methods 80 cases of high-risk benign prostatic hyperplasia in our hospital from June 2011 to June 2013 were chosen as the research objects, who were randomly divided into the two groups. 40 cases in the control group were treated with traditional transurethral resection of prostate, while 40 cases in the observation group were treated with modified transurethral resection of prostate, then the operation time, intraoperative blood loss and complications of patients in the two groups were observed, compared and analyzed. Results The analysis showed that the operative time and intraoperative blood loss of patients in the observation group were significantly less than those in the control group（P0.05）. At the same time, the complications including the false incutinence, transurethral resection syndrome and perforation in the observation group were significantly less than those in the control group（P〈0.05）. Conclusion Modified transurethral resection in the treatment of high-risk benign prostatic hyperplasia can improve the clinical curative effect of high-risk benign prostatic hyperplasia, as well as improve the safety of clinical high-risk benign prostatic hyperplasia surgery, and it shall be worthy of clinical promotion.