经尿道前列腺电切术治疗良性前列腺增生疗效分析

Transurethral Prostatic Cutting Treatment Efficacy Analysis of Benign Prostatic Hyperplasia

目的:探讨对良性前列腺增生症(BPH)患者采用经尿道前列腺电切术治疗的临床效果。方法:选取本院2013年2月-2014年2月收治96例BPH患者的临床资料,分为观察组与对照组,均为48例,观察组给予经尿道前列腺电切术治疗,对照组行开放性手术治疗,观察与比较两组患者的治疗效果、各项手术治疗指标及恢复情况。结果:观察组治疗的总有效率为97.92%,明显高于对照组的83.33%,差异有统计学意义(P<0.05);观察组的手术时间、术中出血量、导管留置时间及住院时间均明显少于对照组,差异有统计学意义(P<0.05);治疗后,观察组的IPSS、QOL、PVR等指标水平均明显低于治疗前,而Q-max水平显著高于治疗前,差异有统计意义(P<0.05)。结论:对BPH患者采用经尿道前列腺电切术治疗,具有手术时间短、术中出血量少等优点,且能有效改善患者的临床症状,疗效显著,值得推广。

Objective：To study the clinical effect of transurethral prostatic electricity cut method in the treatment of benign prostatic hyperplasia（BPH）.Method：From February 2013 to February 2014,the clinical data of 96 BPH patients were analyzed and they were divided into observation group and control group,48 cases of observation group was given for the treatment of the urethra prostate electricity cut,the control were given line open surgery treatment, the curative effect,the surgical treatment indexes and recovery of two groups were observed and compared.Result：The total effective rate of treatment group was 97.92%,significantly higher than the 83.33%in the control group（P〈0.05）. The operation time,intraoperative blood loss,catheter indwelling time and hospital stay in the observation group were significantly less than those of the control group,with statistical significance（P〈0.05）.After treatment,IPSS,QOL and PVR index levels of the observation group were significantly lower than before the treatment,and Q-Max level was significantly higher than before the treatment,with statistical significance（P〈0.05）.Conclusion：The treatment of BPH are treated by transurethral prostatic cutting,with advantages of shorter operation time,less intraoperative blood loss,and can effectively improve the patient’s clinical symptoms,curative effect is distinct,worthy of promotion.