经尿道前列腺电切术治疗良性前列腺增生症的效果分析

Analysis of the Effect of Transurethral Resection of the Prostate in the Treatment of Benign Prostatic Hyperplasia

目的研究分析经尿道前列腺电切术治疗良性前列腺增生症的临床效果。方法选择2018年1月—2019年6月该院接收的225例良性前列腺增生症患者为研究对象,按照投硬币的方法分为对照组100例和实验组125例。观察比较两组患者的临床疗效、手术前后IPSS、SF-36、Qmax、PVR指标、并发症。结果实验组手术后IPSS(5.3±0.9)分、SF-36(33.9±8.7)分、Qmax(23.0±6.0)mL/s、PVR(10.0±8.0)mL显著优于对照组手术后IPSS(13.4±2.5)分、SF-36(18.6±3.1)分、Qmax(12.0±5.0)mL/s、PVR(30.0±6.0)mL,差异有统计学意义(t=33.62、16.75、14.70、20.76,P<0.05);实验组总有效率为85.6%高于对照组68.0%,差异有统计学意义(χ^2=9.957,P=0.002);实验组手术并发症总发生率为16.8%,对照组手术并发症总发生率为51.0%,差异有统计学意义(χ^2=29.862,P<0.05)。结论经尿道前列腺电切术治疗前列腺增生症疗效确切,术后发生严重并发症的概率相对较低,安全可靠。但在手术前后及手术过程中,应严格控制手术指征,注意并发症的有效预防,同时注意二次出血的有效控制,以达到最佳的治疗效果。

Objective To study and analyze the clinical effect of transurethral resection of the prostate in the treatment of benign prostatic hyperplasia.Methods 225 patients with benign prostatic hyperplasia received in the hospital from January 2018 to June 2019 were selected and divided into 100 cases in the control group and 125 cases in the experimental group according to the coin-toss method.Observe and compare the clinical efficacy,IPSS,SF-36,Qmax,PVR indicators,and complications of the two groups before and after surgery.Results The IPSS(5.3±0.9)points,SF-36(33.9±8.7)points,Qmax(23.0±6.0)mL/s,and PVR(10.0±8.0)mL of the experimental group after surgery were significantly better than those of the control group after surgery(13.4±2.5)points,SF-36(18.6±3.1)points,Qmax(12.0±5.0)mL/s,PVR(30.0±6.0)mL,the difference was statistically significant(P<0.05);compared the total effective rate of 85.6%in the experimental group,which was higher than 68.0%in the control group in the control group,and the difference was statistically significant(χ^2=9.957,P=0.002);the total incidence of surgical complications in the experimental group was 16.8%,the total incidence of surgical complications in the control group was 51.0%,the difference was statistically significant(χ^2=29.862,P<0.05).Conclusion Transurethral resection of the prostate has a definite effect in the treatment of benign prostatic hyperplasia.The probability of serious complications after surgery is relatively low,and it is safe and reliable.However,before and after the operation and during the operation,the surgical indications should be strictly controlled,the effective prevention of complications should be paid attention to,and the effective control of secondary bleeding should be paid attention to achieve the best therapeutic effect.