经尿道前列腺电切术治疗前列腺增生的疗效研究

Study on the Curative Effect of Transurethral Resection of Prostate for Benign Prostatic Hyperplasia

目的分析经尿道前列腺电切术治疗前列腺增生的临床治疗效果。方法选择2016年6月-2020年7月间在该院接受治疗的前列腺增生患者作为试验研究对象,共计84例。采用随机数字表法进行分组,对照组为受常规开放手术(42例),观察组为经尿道前列腺电切术(42例),记录两组患者手术相关指标,评估两组患者前列腺症状评分、最大尿流速与生活质量评分,并观察两组患者治疗期间所出现的并发症症状,比较分析临床应用效果。结果观察组手术时间、术中出血量、术后冲洗时间以及住院时间分别是(61.02±10.44)min、(22.71±6.35)mL、(41.64±9.11)h、(7.02±1.75)d,上述数据均显著优于对照组数据(t=7.284、23.082、13.421、10.603,P<0.05);观察组患者IPSS评分(8.92±1.19)分、Qmax(22.05±3.86)mL/s、QOL评分(1.73±0.25)分与对照组数据差异无统计学意义(t=0.347、0.193、1.409,P>0.05);观察组患者术后并发症发生率是4.76%(2/42),显著低于对照组21.43%(9/42),差异有统计学意义(P<0.05)。结论针对前列腺增生患者,采取经尿道前列腺电切术进行治疗更具优势,可大大降低手术及术后冲洗的时间,降低出血量,降低并发症发生几率,促进患者早日康复,尽早出院。

Objective To analyze the clinical therapeutic effect of transurethral resection of prostate for benign prostatic hyperplasia.Methods Patients with benign prostatic hyperplasia who were treated in our hospital from June 2016 to July 2020 were selected as the experimental research subjects,with a total of 84 cases.Random number table method was used for grouping.The control group received conventional open surgery(42 cases),and the observation group received transurethral resection of the prostate(42 cases).The operation-related indicators of the two groups were recorded,and the scores of prostate symptoms,maximum urinary flow rate and quality of life score,and observe the complications of the two groups of patients during treatment,and compare and analyze the clinical application effects.Results The operation time,intraoperative blood loss,postoperative washing time and hospital stay of the observation group were(61.02±10.44)min,(22.71±6.35)mL,(41.64±9.11)h,(7.02±1.75)d,respectively,the above-mentioned data were significantly better than those of the control group(t=7.284,23.082,13.421,10.603,P<0.05);the observation group had IPSS score(8.92±1.19)points,Qmax(22.05±3.86)mL/s,QOL score(1.73±0.25)points;there was not statistically significnat difference between the data of the control group(t=0.347,0.193,1.409,P>0.05);the postoperative complication rate of the observation group was 4.76%(2/42),which was significantly lower than the control group 21.43%(9/42),the difference was statistically significant(P<0.05).Conclusion For patients with benign prostatic hyperplasia,transurethral resection of the prostate is more advantageous,which can greatly reduce the time of surgery and postoperative washing,reduce bleeding,reduce the probability of complications,promote the patient's early recovery,and leave the hospital as soon as possible.