对比经尿道前列腺剜除术、前列腺电切术对老年前列腺增生的治疗效果

Comparison of effects of transurethral enucleation of the prostate and transurethral resection of the prostate in treatment of elderly patients with prostatic hyperplasia

目的:对比经尿道前列腺剜除术、前列腺电切术对老年前列腺增生的治疗效果。方法:将前列腺增生老年患者88例作为研究对象,根据治疗方法的不同分为对照组和观察组,每组44例。对照组以前列腺电切术治疗,观察组经尿道前列腺剜除术治疗,比较两组患者围术期指标与并发症情况。结果:在手术时间、手术出血量、尿管留置时间以及住院时间等方面观察组均显著少于对照组(P<0.05);术后3个月随访,两组QOL、IPSS、Qmax、Ru V等指标水平均明显改善(P<0.05),但两组间差异无统计学意义(P>0.05);并发症发生率两组差异无统计学意义(P>0.05)。结论:老年前列腺增生应用经尿道前列腺剜除术治疗,手术时间短,并发症发生率低,术后恢复快。

Objective To compare effects of transurethral resection of the prostate and transurethral enucleation of the prostatein treatment of elderly patients with prostatic hyperplasia. Methods： 88 cases of elderly patients with prostatic hyperplasia were used asthe research objects. According to the different treatment methods, they were divided into control group （n = 44, transurethral resectionof the prostate） and observation group （n = 44, transurethral enucleation of the prostate）. The perioperative indexes and complicationsof the two groups were compared. Results： The operation time, blood loss, ureter indwelling time and hospitalization time of the observation group were less than those of the control group （P〈0. 05）. At 3-month follow-up, the scores of QOL, IPSS, Qmax and RuV ofthe two groups were obviously improved, but there were no statistical differences between the two groups （P〉0. 05）. Further, therewas no statistical difference between the two groups in the complication rate （P〉0. 05）. Conclusions： Transurethral enucleation of theprostate in the treatment of the elderly patients with prostatic hyperplasia can short the operation time, lower the complication rate andpromote the postoperative recovery.