经尿道前列腺电切术治疗良性前列腺增生症的临床研究.docVIP

精品论文 参考文献 经尿道前列腺电切术治疗良性前列腺增生症的临床研究 （重庆市巫溪县人民医院泌尿外科 重庆 405800） 　　【摘要】目的：探讨经尿道前列腺电切术治疗良性前列腺增生症的临床疗效。方法：良性前列腺增生症患者140例，采用随机数字表法分为两组，对照组70例实施常规开放手术治疗，观察组70例实施经尿道前列腺电切术治疗，比较两组手术情况、评价指标、并发症。结果：治疗后，两组IPSS评分、QOL评分、PVR降低（P＜0.05）。两组Q-max增加（P＜0.05）。观察组IPSS评分、QOL评分、PVR、并发症发生率低于对照组（P＜0.05）。观察组Q-max高于对照组（P＜0.05）。观察组手术时间、术中出血量、术后住院时间少于对照组（P＜0.05）。结论：经尿道前列腺电切术治疗良性前列腺增生症的疗效显著且安全性高，值得临床推广使用。 　　【关键词】经尿道前列腺电切术；良性前列腺增生症；并发症 　　【中图分类号】R615 【文献标识码】A 【文章编号】1007-8231（2016）17-0124-02 　　 Clinical research of prostate transurethral resection in treatment of benign prostatic hyperplasia 　　 Liu Xueyin.Department of Urology, Peoplersquo;s Hospital, Wuxi County, Chongqing City, 405800 　　【Abstract】Objective To investigate clinical effect of prostate transurethral resection in treatment of benign prostatic hyperplasia. Methods 140 patients with benign prostatic hyperplasia were divided into two groups by random digital table method.70 patients received conventional open surgery as control group. 70 patients received prostate transurethral resection as observation group. Operation condition, evaluation indexes, complications were compared between two groups. Results After treatment, IPSS score, QOL score, PVR decreased in two groups(Plt;0.05). Q-max increased in two groups (Plt;0.05). IPSS score, QOL score, PVR, complication rate in observation group were lower than control group(Plt;0.05). Q-max in observation group was higher than control group(Plt;0.05). Operation time, intraoperative blood loss, postoperative hospitalization time in observation group were less than control group(Plt;0.05). Conclusion Prostate transurethral resection has significant effect and high safety in treatment of benign prostatic hyperplasia, which is worthy of clinical application. 　　【Key words】Prostate transurethral resection; Benign prostatic hyperplasia; Complication 　　前列腺增生症是临床常见的一种泌尿系统疾病，其中良性前列腺增生症在老年男性中较为常见，主要表现为排尿困难，需手术治疗[1]。但不同术式取得的治疗效果是有差别的，如何提高疗效，并确保安全性，是临床医生关心的热点问题。此次