摘要
目的:对经尿道前列腺电切术治疗良性前列腺增生症的临床有效性进行分析和探讨。方法:运用随机抽样的方法选择2010年3月-2014年3月在本院进行治疗的良性前列腺增生症患者100例,对他们行经尿道前列腺电切术进行治疗,手术结束6个月后,时患者手术前以及手术后的生活质量(QOL)、前列腺特异抗原(PSA)、最大尿流率(Qmax)、残余尿量(PVR)以及国际前列腺症状评分(IPSS)进行评价和比较。结果:100例患者均顺利完成手术,42例痊愈,30例显效,16例有效,12例无效,有效率为88.0%;术后暂时性尿失禁患者有3例,6个月后均恢复正常;与术前相比,术后患者的QOL、Qmax和IPSS均有明显升高,PsA和PVR均有明显下降(P〈0.05)。结论:经尿道前列腺电切术应用于良性前列腺增生症的治疗中具有较好的疗效,建议在临床上推广应用。
Objective: Transurethral resection of benign prostatic hyperplasia clinical effectiveness analysis and discussion. Methods: Using random sampling method to select from March 2010 to March 2014 in our hospital for treatment of benign prostatic hyperplasia 100 patients, for whom transurethral resection of the prostate for treatment, six months after the end of surgery, for quality of ]ire of patients he- fore surgery and after surgery (QOL) , prostate - specific antigen (PSA), maximum urinary flow rate (Qmax), residual urine volume (PVR) and the International prostate Symptom Score (IPSS) were evaluated and compared. Results: 100 patients were suecessfu]]y oper- ated, 42 cases cured, 30 cases were cured, 16 cases effective, 12 cases ineffective, the effective rate was 88.0% ; after three cases of pa- tients with transient incontinence, were back to normal after six months ; compared with before surgery, the patients QOL, Qmax and IP- SS were significantly increased, PSA, PVR decreased significantly ( P 〈 0.05 ). Conclusions : transurcthral resection applied to the treat- ment of benign prostatic hyperplasia has a good effect, it is recommended in the clinical application.
出处
《中国伤残医学》
2015年第11期14-15,共2页
Chinese Journal of Trauma and Disability Medicine