摘要
目的探讨良性前列腺增生症(Benign Prostatic Hyperplasia,BPH)采用经尿道前列腺剜除术(Trans Urethral Enucleation Prostate,TUEP)治疗的临床效果。方法便利选取2021年1月—2024年1月尤溪县总医院收治的88例BPH患者为研究对象,以随机数字表法分成对照组(n=44)和研究组(n=44),对照组给予经尿道前列腺电切术(Trans Urethral Resection Prostate,TURP)治疗,研究组给予TUEP治疗,比较两组围术期指标、血清炎性因子、并发症、尿流动力学指标。结果研究组手术时长较对照组更短,术中出血量、术后引流量更少,切除组织更重,差异有统计学意义(P均<0.05)。两组患者术后1 d肿瘤坏死因子-α、C反应蛋白均升高,但研究组低于对照,差异有统计学意义(t=11.073、10.830,P均<0.05)。研究组术后并发症总发生率(4.55%)低于对照组(22.73%),差异有统计学意义(χ^(2)=6.175,P<0.05)。两组患者术后1个月残余尿量减少,最大尿流率升高,且研究组优于对照组,差异有统计学意义(P均<0.05)。结论对BPH患者采用TUEP治疗,能够提高切除率,改善围术期指标,控制术后炎症反应,降低并发症发生率,促进尿流动力学改善。
Objective To explore the clinical efficacy of trans urethral enucleation prostate(TUEP)in the treatment of benign prostatic hyperplasia(BPH).Methods A total of 88 patients with BPH admitted to Youxi County General Hospital from January 2021 to January 2024 were conveniently selected as the research objects.They were divided into control group(n=44)and study group(n=44)by random number table method.The control group was treated with trans urethral resection prostate,and the study group was treated with TUEP.The perioperative indexes,serum inflammatory factors,complications and urodynamics index were compared between the two groups.Results The operation time of the study group was shorter than that of the control group,the intraoperative blood loss and postoperative drainage volume were less,and the resected tissue was heavier,the differences were statistically significant(all P<0.05).The levels of tumor necrosis factor-αand C-reactive protein in patients in two groups increased at 1 d after operation,but those in the study group were lower than those in the control group,and the differences were statistically significant(t=11.073,10.830,all P<0.05).The total incidence of postoperative complications in the study group(4.55%)was lower than that in the control group(22.73%),and the difference was statistically significant(χ^(2)=6.175,P<0.05).One month after operation,the residual urine volume decreased and the maximum urinary flow rate increased in patients in two groups,and the study group was better than the control group,the difference was statistically significant(all P<0.05).Conclusion TUEP treatment for BPH patients can improve resection rate,improve perioperative indicators,control postoperative inflammatory response,reduce the incidence of complications,and promote improvement in urodynamics.
作者
林宜权
叶成林
林汝平
LIN Yiquan;YE Chenglin;LIN Ruping(Department of Urology,Youxi County General Hospital,Youxi 365100,Fujian,China)
出处
《中外医疗》
2024年第20期72-75,共4页
China & Foreign Medical Treatment
关键词
经尿道前列腺剜除术
良性前列腺增生症
临床效果
Transurethral resection prostate
Benign prostatic hyperplasia
Clinical effects
