前列腺柱状水囊扩裂术对良性前列腺增生合并尿潴留的治疗效果观察

目的探讨经尿道前列腺扩裂术对良性前列腺增生合并尿潴留患者治疗效果的影响。方法选取2017年8月至2018年8月收治的90良性前列腺增生患者为研究对象,按数字表法随机分为两组,每组各45例,对照组予以经尿道前列腺等离子电切术治疗,实验组予以经尿道前列腺扩裂术治疗,对比两组治疗前后美国国立卫生研究院慢性前列腺炎症状积分指数评分(NIH-CPS)、国际前列腺症状评分(IPSS)及相关前列腺症状改善情况。结果实验组手术用时、术中出血量、膀胱冲洗时间、术后留置尿管时间、住院时间均少于对照组,差异有统计学意义(P<0.05);实验组术后NIH-CPSI、IPSS评分较对照组低,差异有统计学意义(P<0.05);实验组术后最大尿流率(Qmax)较对照组高,残余尿量(RUV)、国际勃起功能障碍指数5(IIEF-5)评分较对照组低,差异有统计学意义(P<0.05);实验组并发症发生率是4.44%(2/45),较对照组低[17.78%(8/45)],差异有统计学意义(P<0.05)。结论经尿道前列腺扩裂术治疗良性前列腺增生可缩短手术时间,减轻手术创伤,对患者症状进行有效改善,且并发症少。

The effect of transurethral prostatic dilatation on NIH-CPS,IPSS and related prostate symptoms in patients with benign prostatic hyperplasia and urinary retention

Objective To investigate the effect of transurethral prostatic dilatation on national institute of the health chronic prostatitis symptom index(NIH-CPS),international prostate symptom score(IPSS)and related prostate symptoms in patients with BPH and urinary retention.Methods From August 2017 to August 2018,90 patients with benign prostatic hyperplasia(BPH)and urinary retention were selected in our hospital as subjects,were randomly divided into two groups according to computer-generated number table method,with 45 cases in each group.The control group was treated with transurethral prostate plasma resection.Transurethral prostatic dilatation was performed in the experimental group.The NIH-CPS,IPSS socre and the improvement of prostate symptoms before and after treatment were compared between the two groups.Results The duration of operation,intraoperative blood loss,bladder washing time,postoperative indwelling catheter and hospitalization time in the experimental group were less than those in the control group,with statistically significant(P<0.05).After the operation,the NIH-CPSI and IPSS scores of the experimental group were lower than those of the control group,with statistically significant(P<0.05).After the operation,the maximum urinary flow rate(Qmax)of the experimental group was higher than that of the control group,and residual urine volume(RUV)and international index of erectile dysfunction5(IIEF-5)scores were lower than those of the control group,with statistically significant(P<0.05).The incidence of complications in the experimental group was 4.44%,lower than that in the control group(17.78%),with statistically significant(P<0.05).Conclusions Transurethral prostatic dilatation for BPH can shorten the operation time,reduce the surgical trauma,improve the prostate symptoms with few complications.