经尿道等离子前列腺电切术配合猪苓汤口服治疗前列腺增生症疗效观察

Observation on Clinical Effects of Transuretheral Resection of the Prostate Combined with Oral Administration of ZhuLing Decoction in the Treatment for Benign Prostatic Hyperplasia

目的:观察经尿道等离子前列腺双极电切术配合猪苓汤口服治疗前列腺增生症的疗效和安全性。方法:对前列腺增生症患者150例行经尿道等离子前列腺电切手术治疗并配合猪苓汤口服,比较手术及猪苓汤干预前后前列腺症状评分(I PSS)、生活质量评分(QOL),膀胱内残余尿量(RUV)、最大尿流率(Qmax),同时观察有无电切综合征(TURS)及永久性尿失禁等的发生。结果:干预后患者I PSS、QOL、RUV及Qmax与干预前比较差异有统计学意义(P<0.05);未见TURS及永久性尿失禁等的发生。结论:经尿道等离子前列腺双极电切术配合猪苓汤口服治疗前列腺增生症安全、有效。

Objective： To explore the safety and clinical effects of transuretheral resection of the prostate（TURP） and oral administration of ZhuLing decoction in treating benign prostatic hyperplasia （BPH）. Methods： All150 patients underwent TURP and took ZhuLing decoction orally, maximum urinary flow rate （Qmax）, residualurine in the bladder （RUV）, the scores of quality of life （QOL） and international prostate symptom score （IPSS） werecompared between before and after the operation, before and after the intervention of ZhuLing decoction, simultane-ously, whether there was transurethral resection syndrome （TURS） and permanent urinary incontinence or not wereobserved. Results： The difference was statistically significant when IPSS, QOL, RUV and Qmax after the interven-tion were compared with these before intervention （P〈0.05）; and there was no incidence of TURS and permanenturinary incontinence. Conclusion： TURP and oral administration of ZhuLing decoction are safe and effective in treat-ing BPH.