经尿道前列腺电切术治疗良性前列腺增生症的临床体会

Clinical Experience in the Treatment of Benign Prostatic Hyperplasia by Transurethral Resection of the Prostate

目的分析良性前列腺增生症经尿道前列腺电切术治疗的临床效果。方法选取该院泌尿外科2014年6月—2017年1月收治的110例良性前列腺增生患者,随机数字表法分为观察组和对照组,每组55例;对照组患者经耻骨上经膀胱前列腺切除术治疗,观察组患者行经尿道前列腺电切术治疗,观察比较两组患者的临床疗效和并发症发生情况。结果观察组术中出血量(115.2±20.7)mL、平均手术时间(59.1±12.6)min、住院时间(6.3±1.6)d、留置导尿时间(5.7±1.3)d均少于对照组患者[(203.4±21.5)mL、(88.5±16.3)min、(10.1±1.3)d、(9.6±1.2)d](P<0.05);观察组总并发症发生率为9.1%,显著低于对照组患者的发生率(34.5%),比较差异有统计学意义(P<0.05)。结论治疗良性前列腺增生采用经尿道前列腺电切术临床效果显著,且并发症少,值得推广应用。

Objective This paper tries to analyze the clinical effect of transurethral resection of prostate（BPH） for benign prostatic hyperplasia（BPH）. Methods 110 patients with benign prostatic hyperplasia were enrolled in this hospital from June 2014 to January 2017. The random number table was divided into observation group and control group, with55 cases in each group. The control group was treated by transvesical prostatectomy. The patients in the observation group were treated with transurethral resection of the prostate, and the clinical efficacy and complications of the two groups were observed and compared. Results The blood loss in the observation group was（115.2 ± 20.7） m L, the average operation time was（59.1±12.6） min, the length of stay in hospital was（6.3±1.6） d, and the duration of indwelling catheterization was（5.7±1.3） d, lower than those in the observation group [（203.4±21.5） m L,（88.5±16.3） min,（10.1±1.3） d and（9.6±1.2） d],（P〈0.05）. The overall complication rate in the observation group was 9.1%, which was significantly lower than that in the control group（34.5%）, the difference was statistically significant（P〈0.05）. Conclusion The treatment of benign prostatic hyperplasia by transurethral resection of the prostate clinical effect is significant, and has fewer complications, it is worth promoting the application.