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目的探讨并分析经尿道前列腺汽化电切术治疗前列腺增生的临床疗效。方法选择自2008年7月~2012年7月期间本院泌尿外科收治的前列腺增生患者80例,随机分成治疗组和对照组,各有40例。其中对照组采用传统手术方式,治疗组则实施经尿道前列腺汽化电切术治疗,观察两组患者手术后的临床疗效并进行对比。结果治疗组临床效果明显优于对照组,治疗组总有效率为97.5%,而对照组总有效率为85.0%,两组疗效对比,P<0.05,差异有统计学意义;两组患者手术平均时间、术中平均出血量、术后剩余尿量及生活质量较前明显好转,且术中与术后未发生严重并发症。结论经尿道前列腺汽化电切术治疗前列腺增生具有创伤小、适应证广、并发症少、治愈率高等特点,又能降低患者住院天数,减少住院费用,值得临床医师学习和应用。
Objective To investigate and analyze the clinical efficacy of transurethral vaporization of the prostate in the treatment of benign prostatic hyperplasia. Methods Eighty patients with benign prostatic hyperplasia treated in our department of urology from July 2008 to July 2012 were randomly divided into treatment group and control group, 40 cases each. The control group was treated by traditional surgery, while the treatment group was treated by transurethral electrovaporization of the prostate. The clinical efficacy after operation was observed and compared between the two groups. Results The clinical effect of the treatment group was significantly better than that of the control group. The total effective rate was 97.5% in the treatment group, while the total effective rate in the control group was 85.0%. The curative effect of the two groups was significant (P <0.05), and the difference was statistically significant Time, intraoperative blood loss, postoperative residual urine volume and quality of life improved significantly compared with the previous, and no serious complications during and after surgery. Conclusion Transurethral vaporization of the prostate for the treatment of benign prostatic hyperplasia is characterized by less trauma, more indications, fewer complications, and higher cure rate. It can also reduce the length of hospitalization and reduce the cost of hospitalization, which is worth learning and application by clinicians.