经尿道前列腺切除术治疗对前列腺增生症患者临床疗效及出血量、输血量、膀胱冲洗时间的影响

Effect of transurethral prostatectomy on clinical efficacy,blood loss,blood transfusion volume and bladder washing time of patients with prostatic hyperplasia

目的探讨经尿道前列腺切除术治疗对前列腺增生症患者临床疗效及出血量、输血量、膀胱冲洗时间的影响。方法取2019年1—12月因前列腺增生来我院接受治疗的94例患者为研究对象,随机设为研究组与对照组。对照组采用开放手术治疗,研究组采用经尿道前列腺切除术。比较两组临床指标,临床治疗效果以及并发症发生情况。结果研究组并发症发生率(6.41%)低于对照组(19.12%)(P<0.05);研究组手术后IIEF-5评分(20.30±2.70)分及最大尿流量(19.62±1.01)mL/s高于对照组(15.30±1.30)分、(14.52±1.11)mL/s,PVR指标(10.71±3.65)mL低于对照组(17.32±3.90)mL(P<0.05);研究组术中出血量(217.11±10.67)mL、输血量(191.23±12.91)mL以及膀胱冲洗时间(4.42±1.30)d、住院时间(7.31±1.70)d均少于对照组(325.30±25.21)mL、(297.62±13.33)mL、(10.05±1.11)d、(12.43±2.61)d(P<0.05)。结论对前列腺增生患者采用经尿道前列腺切除术治疗,能够有效减少其术中出血量及输血量,膀胱冲洗时间明显缩短,临床应用效果较好,且术后并发症较少,利于患者术后恢复。

Objective To investigate the effect of transurethral prostatectomy on clinical efficacy,blood loss,blood transfusion volume and bladder washing time of patients with prostatic hyperplasia.Methods A total of 94 patients with prostate hyperplasia who were treated in our hospital from January 2019 to December 2019 were selected as the research subjects,and were randomly set as the study group and the control group.Open surgery was performed in the control group and transurethral prostatectomy was performed in the study group.Clinical indicators,clinical treatment effects and complications were compared between the two groups.Results The incidence of complications in the study group(6.41%)was lower than that in the control group(19.12%)(P<0.05).In the study group,the IIEF-5 score(20.30±2.70)points and maximum urine flow(19.62±1.01)mL/s were higher than(15.30±1.30)points and(14.52±1.11)mL/s in the control group;the PVR index(10.71±3.65)mL was lower than that in the control group(17.32±3.90)mL(P<0.05).In the study group,the amount of intraoperative blood loss(217.11±10.67)mL,the amount of blood transfusion(191.23±12.91)mL,the bladder washing time(4.42±1.30)d and the length of hospital stay(7.31±1.70)d were all lower than(325.30±25.21)mL and(297.62±13.33)mL,(10.05±1.11)d,(12.43±2.61)d in the control group(P<0.05).Conclusion Transurethral prostatectomy for patients with prostatic hyperplasia can effectively reduce the amount of intraoperative blood loss and blood transfusion,and significantly shorten the bladder washing time,with better clinical effect and less postoperative complications,which is conducive to postoperative recovery of patients.