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目的探讨经尿道前列腺电切术治疗良性前列腺增生症患者的临床效果。方法选取2014年4月至2015年6月东莞市石排医院接诊的49例良性前列腺增生症患者作为研究对象,记录所有患者手术时间、术中出血量、并发症发生情况、住院时间及切除腺体重量;比较患者治疗前后的国际前列腺症状评分(IPSS)、生活质量评分量表(SF-36)、最大尿流量(Q_(max))、残余尿量(PVR)。结果患者手术时间为46~93 min,平均(62±6)min;术中出血量为60~130 ml,平均(94±6)ml;切除腺体重量为21~57 g,平均(38±5)g;术后住院时间为5~10 d,平均(7.6±1.2)d;虽有部分患者出现并发症,但经处理后恢复良好,并未出现真性尿失禁等严重并发症;治疗后,患者的IPSS评分、PVR水平均显著低于治疗前,SF-36评分、Q_(max)均明显高于治疗前,差异均有统计学意义(均P<0.05)。结论经尿道前列腺电切手术治疗良性前列腺增生症患者效果确切,手术后严重并发症的发生率相对较低,安全可靠。
Objective To investigate the clinical effect of transurethral resection of prostate in patients with benign prostatic hyperplasia. Methods From April 2014 to June 2015, 49 patients with benign prostatic hyperplasia admitted to Shek Pai Hospital of Dongguan City were selected as research objects. The operation time, intraoperative blood loss, complications, hospitalization and resection of all patients were recorded The IPSS, SF-36, Q_max and PVR of patients before and after treatment were compared. Results The operation time ranged from 46 to 93 minutes, with an average of (62 ± 6) minutes. The blood loss was 60 to 130 ml with an average of (94 ± 6) 5) g. The postoperative hospital stay was 5 to 10 days, with an average of (7.6 ± 1.2) days. Although some patients had complications, they recovered well after treatment without serious complications such as true urinary incontinence. After treatment , IPSS score and PVR level of patients were significantly lower than before treatment, SF-36 score and Q max were significantly higher than those before treatment (all P <0.05). Conclusions Transurethral resection of the prostate for the treatment of benign prostatic hyperplasia is effective and the incidence of serious complications after surgery is relatively low, safe and reliable.