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目的探讨经尿道前列腺等离子电切术治疗老年前列腺增生症的临床效果。方法选取桂林平乐县人民医院2008年11月—2016年11月收治的老年前列腺增生症患者58例,采用随机数字表法分为对照组和治疗组,每组29例。对照组患者采用常规开放手术治疗,治疗组患者采用经尿道前列腺等离子电切术治疗。比较两组患者的临床疗效、手术时间、住院时间及治疗前后国际前列腺症状评分表(IPSS)评分,观察患者术后并发症发生情况。结果治疗组患者治疗总有效率高于对照组(P<0.05)。治疗组患者手术时间和住院时间短于对照组(P<0.05)。治疗前,两组患者IPSS评分比较,差异无统计学意义(P>0.05);治疗后,观察组患者IPSS评分低于对照组(P<0.05)。治疗组患者术后并发症发生率低于对照组(P<0.05)。结论采用经尿道前列腺等离子电切术治疗老年前列腺增生症的临床疗效确切,可有效缩短患者的治疗时间,缓解临床症状。
Objective To investigate the clinical effect of transurethral resection of prostate for treatment of benign prostatic hyperplasia (BPH). Methods 58 patients with senile benign prostatic hyperplasia admitted in Pingle County People’s Hospital of Guilin from November 2008 to November 2016 were randomly divided into control group and treatment group with 29 cases in each group. Patients in the control group were treated with conventional open surgery, while patients in the treatment group were treated with transurethral resection of prostate. The clinical efficacy, operation time, hospital stay and IPSS scores before and after treatment were compared between two groups to observe the postoperative complications. Results The total effective rate of treatment group was higher than that of control group (P <0.05). The operation time and hospital stay in the treatment group were shorter than those in the control group (P <0.05). Before treatment, there was no significant difference in IPSS score between the two groups (P> 0.05). After treatment, IPSS score of the observation group was lower than that of the control group (P <0.05). The incidence of postoperative complications in the treatment group was lower than that in the control group (P <0.05). Conclusion The clinical efficacy of transurethral resection of prostate for the treatment of benign prostatic hyperplasia (BPH) is accurate and can shorten the treatment time and alleviate the clinical symptoms.