摘要
目的对比分析超声引导下经尿道棒状水囊前列腺扩裂术与常规经尿道棒状水囊前列腺扩裂术治疗高危良性前列腺增生患者的疗效与安全性。方法选取杭州市富阳区第一人民医院诊治的88例高危良性前列腺增生患者作为研究对象。按照患者治疗方式的不同分为对照组与超声组,对照组患者采用常规经尿道棒状水囊前列腺扩裂术,超声组患者采用超声引导下经尿道棒状水囊前列腺扩裂术。对比两组患者手术情况,对比两组术前术后1个月、3个月和6个月对患者最大尿流率(Qmax)、残尿量、前列腺体积和国际前列腺症状评分(IPSS),统计术后不良反应发生情况。结果超声组患者平均手术时间、术中出血量、膀胱冲洗时间、尿管留置时间均低于对照组患者,差异具有统计学意义(P<0.05)。与术前相比,两组患者术后1个月、3个月和6个月IPSS评分、残尿量和前列腺体积均降低,Qmax升高,差异具有统计学意义(P<0.05)。术后1个月、3个月和6个月与对照组患者相比,超声组患者IPSS评分、残尿量和前列腺体积均降低,Qmax升高,差异具有统计学意义(P<0.05)。两组患者术后不良反应(尿失禁、尿潴留和尿道狭窄)总发生率比较,差异无统计学意义(P<0.05)。结论超声引导下经尿道棒状水囊前列腺扩裂术治疗高危良性前列腺增生患者,手术时间短,患者恢复较好,临床疗效优于常规经尿道棒状水囊前列腺扩裂术治疗。
Objective To compare and analyze the efficacy and safety of ultrasound-guided transurethral rod-shaped water sac prostate enlargement and conventional transurethral rod-shaped water sac prostate enlargement in the treatment of high-risk benign prostatic hyperplasia(BPH). Methods 88 patients with high-risk BPH were selected and divided into control group and ultrasound group according to different treatment methods. The control group was treated with routine transurethral rod-shaped water sac prostate enlargement, while the ultrasound group was treated with ultrasound-guided transurethral rod-shaped water sac prostate enlargement. The operation conditions of the two groups were compared;the maximal urinary flow rate(Qmax), residual urine volume, prostate volume, and international prostate symptom score(IPSS) were compared between the two groups at 1 month, 3 months, and 6 months before and after operation. The incidence of adverse reactions after operation was counted. Results The average operation time, intraoperative bleeding volume, bladder irrigation time, and urethral indwelling time in the ultrasound group were shorter than those in the control group, with statistically significant differences(P<0.05). Compared with before operation, the IPSS score, residual urine volume, and prostate volume decreased and Qmax increased in the two groups at 1, 3, and 6 months after operation, with statistically significant differences(P<0.05). Compared with the control group, IPSS score, residual urine volume and prostate volume decreased and Qmax increased at 1, 3, and 6 months after operation in the ultrasound group, with statistically significant differences(P<0.05). There was no significant difference in the total incidence of adverse reactions(urinary incontinence, urinary retention and urethral stricture) between the two groups(P<0.05). Conclusions Ultrasound-guided transurethral rod-shaped water sac prostate enlargement is more effective than routine transurethral rod-shaped water sac prostate enlargement in the treatment of high-risk benign prostatic hyperplasia patients, with shorter operation time and better recovery.
作者
关胜
徐皖江
蔡万松
闻立平
蒋祥新
GUAN Sheng;XU Wanjiang;CAI Wansong;WEN Liping;JIANG Xiangxin(Department of Urology, First People′s Hospital of Fuyang District, Hangzhou 311400, Zhejiang, China)
出处
《中国性科学》
2019年第10期16-19,共4页
Chinese Journal of Human Sexuality
关键词
前列腺增生
经尿道棒状水囊前列腺扩裂术
超声
临床疗效
Prostatic hyperplasia
Transurethral rod-shaped water sac prostate enlargement
Ultrasound
Clinical efficacy
