改良持续膀胱冲洗对经尿道前列腺电切术患者的临床价值

目的 探讨改良持续膀胱冲洗法对经尿道前列腺电切术术后患者的临床应用疗效.方法 收集上海市闵行区中心医院泌尿外科2014年12月到2016年12月收治的90名经尿道前列腺电切术患者,根据按照治疗方法分为观察组与对照组,每组45例.观察组采取改良持续膀胱冲洗方法进行尿道前列腺电切术术后治疗,对照组采取传统冲洗法治疗.对2组患者的细菌培养阳性率及临床疗效加以比较,并记录治疗过程中以及治疗后出现的不良反应发生情况.结果 观察组患者膀胱痉挛疼痛、尿管堵塞、冲洗液出现反流及尿管周边漏尿的发生率均明显低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为91.1%(41/45),明显高于对照组71.1%(32/45)(P<0.05);但2组检出细菌阳性率差异无统计学意义(P>0.05).结论 采取改良持续膀胱冲洗法对经尿道前列腺电切术术后患者临床治疗中取得不错的治疗效果,同时不良反应率也明显降低,在对经尿道前列腺电切术术后患者中具有较高的临床应用价值.

Clinical effects of modified continuous urinary bladder irrigation on the patients with transurethral resection of prostate

Objective To investigate the clinical effects of modified continuous urinary bladder irrigation on the patients with transurethral resection of the prostate .Methods Clinical data of 90 patients with transurethral prostate resection treated in the hospital from November 2014 to November 2016 were collected for the study .The patients were divided into the observation group and the con-trol group in accordance with different treatment methods , each consisting of 45 patients.The observation group was treated with im-proved continuous bladder irrigation , while the control group was treated with conventional irrigation , after surgery.The positive rate of bacteria culture and clinical efficacy were compared between the 2 groups.At the same time, adverse reactions during and after treat-ment were closely observed and recorded .Results Research results showed that the incidence of adverse reactions in the patients of the observation group with bladder spasm pain , urine tube clogging , rinse reflux and urine leakage in the ureter was significantly lower than that of the control group, and statistical significance could be noted when comparisons were made between the 2 groups(P<0.05).To-tal effective rate of the observation group was 91.1% (41/45), which was significantly higher than that of the control group 71.1%(32/45), with statistical significance(P<0.05).However, there were no significant differences in the positive rate of bacteria detec-tion(P>0.05).Conclusion The improved continuous bladder irrigation could achieve good therapeutic effects on the patients who underwent transurethral prostate resection , and it also could significantly reduce the incidence of adverse reactions .All this indicated that this treatment method had high clinical value in the patients following transurethral resection .