经尿道前列腺汽化电切术治疗良性前列腺增生症128例疗效及安全性评价

Transurethral Vaporization of Prostate for the Treatment of Benign Prostatic Hyperplasia:Efficacy and Safety Evaluation of 128 Cases

目的观察在临床治疗良性前列腺增生症患者的过程中,经尿道前列腺汽化电切术治疗后的临床效果,评价其安全性,为临床男科治疗提供依据。方法将我院自2015年6月至2016年6月期间收治的128例良性前列腺增生患者,随机分组并予以不同的治疗措施。结果经过不同的手术方式后,经尿道前列腺汽化电切术治疗的试验组患者各项治疗指标均显著优于对照组,如尿道留置与住院时间及术中出血量,差异有统计学意义(P<0.05);经尿道前列腺汽化电切术治疗后的试验组患者的各项评分情况均显著优于对照组,如IPSS、QOL等,差异有统计学意义(P<0.05)。经尿道前列腺汽化电切术治疗后的试验组患者的并发症情况显著低于对照组,如排尿困难、尿道狭窄、暂时性尿失禁等,差异有统计学意义(P<0.05)。结论在临床治疗良性前列腺增生症患者的过程中,应用经尿道前列腺汽化电切术治疗可有效改善患者的各项治疗指标及IPSS、QOL评分情况,有利于降低发生并发症的几率,安全性较高,应广泛推广。

Objective To observe the clinical effect and evaluate the safety of transurethral vaporization of prostate （TURP） in the treatment of BPH patients, and to provide the basis for clinical treatment of male patients. Methods 128 cases of BPH patients who were treated in our hospital from June 2015 to June -2016 were randomly divided into two groups and treated with different measures. Results After different operation methods ,the treatment indexes of patients who were treated with TURP in the experimental group were significantly better than those in the control group, such as urethral indwelling, length of stay and in- traoperative bleeding（P 〈 0.05 ）. The scores of the patients treated by TURP were significantly better than those in the control group, such as IPSS, QOL, etc（ P 〈 0. 05 ）. But the complications of TURP were significantly lower, such as dysuria, urethral stric- ture, transient urinary incontinence, etc （ P 〈 0. 05 ）. Conclusion In the process of clinical treatment of patients with benign pros- tatic hyperplasia, the application of TURP could effectively improve patients＇ various treatment indicators, and IPSS and QOL score, contributing to reduce the risk of complications, which has high safety and should be widely promoted.