经尿道前列腺切开术在高危前列腺增生治疗中的应用效果分析.docVIP

经尿道前列腺切开术在高危前列腺增生治疗中的应用效果分析 　　[摘要]目的 评价经尿道前列腺切开术治疗高危前列腺增生的临床效果。方法 选取我院2015年10月～2016年9月收治的39例高危前列腺增生患者作为研究对象，均实施经尿道前列腺切?_术治疗，统计患者的手术时间、术后导尿管留置时间、术后并发症发生率、术后住院时间，比较术前、术后随访3个月的IPSS评分（国际前列腺症状评分）、生活质量。结果 39例患者的平均手术时间为（21.9±4.6）min，术后平均导尿管留置时间为（5.8±1.3） d，术后并发症发生率为5.1%，术后平均住院时间为（6.9±1.5）d，术后随访3个月的IPSS评分为（9.6±1.5）分，低于术前的（24.9±2.8）分（P0.05），GQOL-74评分为（70.1±5.8）分，高于术前的（49.5±6.2）分（P0.05）。结论 经尿道前列腺切开术治疗高危前列腺增生，手术时间短，疗效可靠，并发症少，能够有效改善患者生活质量。 　　[关键词]经尿道前列腺切开术；高危前列腺增生；疗效；IPSS评分；生活质量 　　[中图分类号] R699 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0066-03 　　Application effect analysis of transurethral prostatectomy in the treatment of high risk benign prostatic hyperplasia 　　YANG Ya-han 　　Department of Urinary Surgery，Huazhou People′s Hospital，Guangdong Province，Huazhou 525100，China 　　[Abstract]Objective To evaluate the clinical efficacy of transurethral prostatectomy in the treatment of high risk benign prostatic hyperplasia（BPH）.Methods From October 2015 to September 2016，39 patients with high risk BPH admitted into our hospital were selected as research objects.All participants were performed with transurethral prostatectomy.The operation time，catheterization time after surgery，incidence of postoperative complications，and hospital stay after surgery were calculated.The international prostate symptom score（IPSS） and quality of life（GQOL-74） before surgery and 3-month follow-up visits after surgery were compared.Results Among 39 patients，the average surgical time，average catheterization time after surgery，incidence of postoperative complications，and average hospital stay after surgery were （21.9±4.6） min，（5.8±1.3） d，（5.1%） and （6.9±1.5） d in turn.The IPSS score 3-month after surgery was （9.6±1.5） points lower than that before surgery，（24.9±2.8） points.The GQOL-74 score was （70.1±5.8） points，higher than that before surgery [（49.5±6.2） points] （P0.05）.Conclusion Application of transurethral prostatectomy in the treatment of high BPH can effectively improve patient′s quality of life with