经尿道前列腺汽化电切术联合经尿道前列腺电切术在前列腺增生治疗中的应用效果

Application effect of transurethral electro-vaporization prostatectomy combined with transurethral resection prostate in the treatment of benign prostatic hyperplasia

目的探讨经尿道前列腺汽化电切术(TUEVP)联合经尿道前列腺电切术(TURP)在前列腺增生(BPH)治疗中的应用效果。方法选取2016年1月至2018年3月我院95例BPH患者为研究对象,根据就诊顺序将入选者分为对照组(47例)和研究组(48例),对照组患者行TURP治疗,研究组患者在对照组的基础上联合TUEVP治疗,比较两组患者的手术情况、手术前、后前列腺症状(IPSS)评分、各尿动学指标以及术后并发症总发生率。结果研究组患者各手术指标均显著优于对照组(P<0.05);术后两组患者的IPSS评分、各尿动学指标较术前均明显改善,且研究组改善程度较对照组更显著(P<0.05);研究组患者术后并发症总发生率显著低于对照组,差异具有统计学意义(P<0.05)。结论联合手术有助于促进BPH患者术后恢复,减少术后并发症发生率,疗效安全显著,值得在BPH治疗中进行应用推广。

Objective To explore the application efficacy of transurethral electro-vaporization prostatectomy （TUEVP）combined with transurethral resection of prostate （TURP） in the treatment of patients with benign prostatic hyperplasia（BPH）. Methods A total of 95 patients with BPH were selected as study objects from January 2016 to March 2018.According to the order of treatment, all the patients were divided into control group （47 cases） and study group （48cases）. The control group was treated with TURP, the experimental group on the basis of this was given combination ofTUEVP. The surgical status, the prostatic symptoms （IPSS） scores and the urodynamic parameters before and aftersurgery, the incidences of postoperative complications were compared between the two groups. Results The operativeindexes in the experimental group were significantly better than those in the control group （P〈0.05）. The IPSS scores,urodynamic parameters of the two groups significantly improved compared with those before operation, and theimprovement in the experimental group were more significant than those of the control group （P〈0.05）. The totalincidence of postoperative complications in the study group was significantly lower than that in the control group（P〈0.05）. Conclusion The combined surgery in BPH patients is conducive to promote postoperative recovery, reduce theincidence of postoperative complications, and has a significant safety effect. It is worth to be promoted in the treatment ofBPH.