对比良性前列腺增生采取前列腺电切术与经尿道钬激光前列腺剜除术治疗的临床效果

目的：探析良性前列腺增生运用两种术式治疗的临床效果。方法方便选择该院2013年2月—2014年2月期间收治的良性前列腺增生患者128例为研究对象,采用随机数字表法将其分为两组,每组64例,其中观察组运用经尿道钬激光前列腺剜除术治疗,而对照组则运用前列腺电切术治疗,对两组的并发症发生率、住院时间、留置导尿管时间、生活质量评分以及最大尿流率等进行对比分析。结果两组均完成手术,观察组的术后并发症发生率为5.56%,明显低于对照组的22.22%,组间对比差异有统计学意义(P<0.05)；观察组的留置导尿管和住院时间分别为(24.3±2.4) h、(4.5±1.6)d,明显低于对照组的(69.1±3.3)h、(9.5±1.2)d,组间比较差异有统计学意义(P<0.05)；同时,随访3个月,两组的最大尿流率(Qmax)、国际前列腺症状评分(IPSS)以及生活质量评分(QOL)比较差异有统计学意义(P<0.05)。结论在良性前列腺增生的治疗中,与前列腺电切术比较,经尿道钬激光前列腺剜除术能够获得较好的疗效。

Comparison of the Clinical Effect of Transurethral Resection of Prostate and Transurethral Holmium Laser Enucleation of the Prostate Surgery in Treat-ment of Benign Prostatic Hyperplasia

Objective To study the clinical effect of two kinds of surgical treatment for benign prostatic hyperplasia. Meth-ods Convenient choose our hospital in February 2013—February 2014 admitted during the period of 128 patients with be-nign prostatic hyperplasia as the research objectand were divided into two groups according to the random number table method. Each group of 64 cases,Patients in the observation group were treated transurethral holmium laser enucleation of the prostate surgery while patients in the control group were treated with transurethral resection of prostate. On two groups the incidence of complications, length of hospital stay, urethral catheter time, the quality of life scores and maximum urinary flow rate were analyzed. Results Both groups completed surgery, observation group the incidence of postoperative complica-tions was 5.56%, 22.22%, significantly lower than the control group, the obvious contrast difference between groups (P<0.05);Observation group of urethral catheter and length of hospital stay (24.3 ±2.4) h, respectively (4.5 ± 1.6) d, significant-ly lower than the control group (69.1 ± 3.3)h (9.5±1.2)d,the more obvious differences between group (P< 0.05); And at the same time, the maximum urinary flow rate (Qmax), International Prostate Symptom Score (IPSS) and score of life quality (QOL) were significantly different between the two groups after 3 months follow-up (P< 0.05). Conclusion In the treatment of benign prostatic hyperplasia, transurethral holmium laser enucleation of the prostate can obtain better curative effect, compared with transurethral resection of prostate.