經(jīng)尿道前列腺切除術治療對前列腺增生癥患者臨床療效及出血量、輸血量、膀胱沖洗時間的影響

王興亮

[關鍵詞] 經(jīng)尿道前列腺切除術;前列腺增生癥;出血量;膀胱沖洗時間

[中圖分類號] R697.3? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）22-0054-03

Effect of transurethral prostatectomy on clinical efficacy， blood loss， blood transfusion volume and bladder washing time of patients with prostatic hyperplasia

WANG Xingliang

Department of Urology， Tai′an City Central Hospital， Tai′an? ?271000，China

[Abstract] Objective To investigate the effect of transurethral prostatectomy on clinical efficacy， blood loss， blood transfusion volume and bladder washing time of patients with prostatic hyperplasia. Methods A total of 94 patients with prostate hyperplasia who were treated in our hospital from January 2019 to December 2019 were selected as the research subjects， and were randomly set as the study group and the control group. Open surgery was performed in the control group and transurethral prostatectomy was performed in the study group. Clinical indicators， clinical treatment effects and complications were compared between the two groups. Results The incidence of complications in the study group （6.41%） was lower than that in the control group （19.12%） （P<0.05）. In the study group， the IIEF-5 score （20.30±2.70）points and maximum urine flow （19.62±1.01）mL/s were higher than （15.30±1.30）points and （14.52±1.11）mL/s in the control group; the PVR index （10.71±3.65）mL was lower than that in the control group （17.32±3.90） mL （P<0.05）. In the study group， the amount of intraoperative blood loss （217.11±10.67）mL， the amount of blood transfusion （191.23±12.91）mL， the bladder washing time （4.42±1.30）d and the length of hospital stay （7.31±1.70）d were all lower than （325.30±25.21）mL and （297.62±13.33）mL， （10.05±1.11）d， （12.43±2.61）d in the control group （P<0.05）. Conclusion Transurethral prostatectomy for patients with prostatic hyperplasia can effectively reduce the amount of intraoperative blood loss and blood transfusion， and significantly shorten the bladder washing time， with better clinical effect and less postoperative complications， which is conducive to postoperative recovery of patients.

[Key words] Transurethral prostatectomy; Prostatic hyperplasia; Blood loss; Bladder washing time

前列腺增生是泌尿外科中較為常見的疾病類型，該類患者大多存在夜尿增加以及排尿困難等情況，且主要以中老年患者為多發(fā)群體[1]。近年來，伴隨著我國人口老齡化的增加致使前列腺增生患者的發(fā)病率也逐漸呈遞增趨勢，嚴重威脅中老年患者的身體健康及生命安全[2]。在傳統(tǒng)的治療方案中，對前列腺增生患者主要以藥物治療為主，該方法能夠促使患者病情得到一定程度緩解，但隨著用藥時間延長極易導致耐藥性產(chǎn)生，不利于整體治療效果提升[3]。目前，手術治療是對前列腺增生患者的主要治療方案，但選擇不同的手術方式其治療效果也存在一定差異。本研究通過對前列腺增生患者采用經(jīng)尿道前列腺切除術治療，進而探討其效果，現(xiàn)報道如下。