经尿道前列腺剜除电切术与传统前列腺电切术治疗大体积前列腺增生的临床效果及安全性分析

Clinical effect and safety analysis of transurethral resection of prostate and traditional prostate electrotomy for large-volume prostatic hyperplasia

目的探讨经尿道前列腺剜除电切术与传统前列腺电切术治疗大体积前列腺增生的临床效果及安全性分析。方法研究对象选取本院2016年1月-2018年1月间收治的大体积前列腺增生患者106例,采用随机数字法分为试验组和传统组,每组各53例。试验组行经尿道前列腺剜除电切术,传统组行传统前列腺电切除术。比较两组患者治疗前后相关情况、临床效果,分析各并发症发生率、复发率及满意率。结果治疗后,试验组手术时间、住院时间、术中出血量、切除腺体质量及尿管置流时间均显著优于传统组(P<0.05);治疗前,两组患者国际前列腺症状评分(I-PSS)、尿流速率及生活质量评分(QCL)比较均无显著差异(P>0.05);治疗2周后,试验组患者I-PSS评分、尿流速率显著优于传统组(P<0.05);治疗5月后,试验组患者I-PSS评分、尿流速率及QCL评分均显著优于传统组(P<0.05);随访5个月,试验组患者出血、尿潴留、性功能障碍、电切综合征、感染等并发症发生率均显著低于传统组患者(P<0.05),试验组患者复发率显著低于传统组患者(P<0.05),试验组患者满意率显著高于传统组患者(P<0.05)。结论经尿道前列腺剜除电切除术对比传统前列腺电切除术治疗大体积前列腺增生,具有更好的临床效果,同时安全性更高,值得在临床推广。

Objective To investigate the clinical effect and safety of transurethral resection of prostate and conventional prostatectomy for the treatment of large-volume prostatic hyperplasia.Methods A total of 106 patients with large volume prostatic hyperplasia who were admitted to our hospital from January 2016 to January 2018 were enrolled.The patients were divided into experimental group and traditional group by random number method,with 53 cases in each group.The experimental group underwent transurethral resection of the prostate,and the conventional group underwent conventional prostatectomy.The situation between the two groups before and after treatment was compared.Results After treatment,the operation time,hospitalization time,intraoperative blood loss,mass of resected gland and urinary catheterization time in the experimental group were significantly better than those in the traditional group(P<0.05).Before treatment,the international prostate symptom scores of the two groups(I-PSS),urine flow rate and quality of life scores were not significantly different(P>0.05);After 2 weeks of treatment,the I-PSS score and urine flow rate of the experimental group were significantly better than the traditional group(P<0.05);After 5 months,the I-PSS score,urine flow rate and quality of life scores of the experimental group were significantly better than the traditional group(P<0.05).After 5 months of follow-up,the incidence of complications such as hemorrhage,urinary retention,sexual dysfunction,electric resection syndrome,and infection was significantly lower in the experimental group than in the traditional group(P<0.05).The recurrence rate of the experimental group was significantly lower than that of the traditional group.Patients in the group(P<0.05),the satisfaction rate of the test group was significantly higher than that of the traditional group(P<0.05).Conclusion Transurethral resection of the prostate is better than traditional prostate electro surgery in the treatment of large-volume prostatic hyperplasia,which has better clinical effect and higher safety.It is worthy of clinical promotion.