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目的:探究高龄前列腺增生症采用经尿道前列腺等离子电切联合耻骨上膀胱穿刺造瘘治疗的临床疗效。方法:对2014年2月至2014年8月收治的高龄前列腺增生症患者68例,根据数字表法分为对照组和治疗组2个组别,各组患者例数均为34例,其中对照组患者均行经尿道前列腺等离子电切术治疗,治疗组患者均行经尿道前列腺等离子电切联合耻骨上膀胱穿刺造瘘治疗,观察对比两种不同手术方法的应用效果。结果:治疗组患者手术时间和术后住院时间均较对照组短(P<0.05),术中出血量较对照组少(P<0.05),术中腺体切除体积较对照组大(P<0.05),多项数据比较均存在明显统计学差异。治疗组患者术后残余尿量较对照组少(P<0.05),最大尿流量较对照组多(P<0.05),IPSS(前列腺症状)评分较对照组低(P<0.05),数据比较差异均存在统计学意义。结论:高龄前列腺增生症采用经尿道前列腺等离子电切联合耻骨上膀胱穿刺造瘘治疗,可有效缓解患者临床症状,缩短其手术时间和住院时间,减少患者术中出血量和术后残余尿量,且手术过程中腺体切除体积较大,术后排尿情况恢复良好,手术效果显著。
Objective: To investigate the clinical efficacy of transurethral resection of prostate in combination with suprapubic bladder puncture for the treatment of benign prostatic hyperplasia (BPH). Methods: A total of 68 elderly patients with benign prostatic hyperplasia who were admitted from February 2014 to August 2014 were divided into control group and treatment group according to digital table method. The number of patients in each group was 34 cases, of which the control group All patients underwent transurethral resection of prostatectomy. The patients in the treatment group were treated with transurethral resection of the prostate and plasma suprapubic puncture, and the effects of two different surgical methods were compared. Results: The operation time and postoperative hospital stay in the treatment group were shorter than those in the control group (P <0.05). The amount of bleeding in the treatment group was less than that in the control group (P <0.05) 0.05), there are significant statistical differences in a number of data. The postoperative residual urine volume in the treatment group was lower than that in the control group (P <0.05), and the maximum urinary flow rate was higher than that in the control group (P <0.05). The score of IPSS (Prostate Symptoms) was lower than that in the control group There are statistical significance. Conclusion: The treatment of benign prostatic hyperplasia by transurethral resection of the prostate plasma combined with suprapubic bladder puncture and fistula treatment can effectively relieve the clinical symptoms, shorten the operation time and hospitalization time, reduce the intraoperative blood loss and postoperative residual urine volume, In the course of surgery, the volume of gland resection is large, the postoperative urination is well recovered and the operation effect is remarkable.