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目的探讨耻骨上经膀胱前列腺切除术(SPP)与经尿道前列腺电切术(TURP)治疗良性前列腺增生患者的临床疗效。方法选取收治的196例良性前列腺增生(BPH)患者为研究对象,按就诊顺序奇偶号将其分为对照组和观察组,每组98例,分别接受SPP和TURP治疗。比较两组患者的手术相关指标、治疗前后症状改善情况和并发症发生情况。结果观察组患者的手术时间、住院时间均明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(均P<0.05);两组患者术后IPSS、QOL评分和Qmax与术前比较,差异均有统计学意义(均P<0.05),但组间比较差异无统计学意义(P>0.05);观察组患者暂时性尿失禁、尿道狭窄的发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论 SPP与TURP治疗BPH疗效相当,但TURP的手术时间和住院时间较短,术中出血量较少,并发症发生率较低,整体疗效更好。
Objective To investigate the clinical efficacy of suprapubic transvesical prostatectomy (SPP) and transurethral resection of prostate (TURP) in the treatment of patients with benign prostatic hyperplasia. Methods A total of 196 patients with benign prostatic hyperplasia (BPH) were enrolled in this study. They were divided into control group and observation group according to the order of treatment. Each group received 98 cases of SPP and TURP. The two groups of patients with surgery-related indicators, symptoms before and after treatment to improve the situation and complications. Results The operation time and hospitalization time in the observation group were significantly shorter than those in the control group, and the amount of bleeding during operation was significantly less than that of the control group (all P <0.05). The postoperative IPSS and QOL scores Qmax was significantly lower than that before operation (all P <0.05), but there was no significant difference between the two groups (P> 0.05). The incidence of transient urinary incontinence and urethral stricture in the observation group was significantly lower In the control group, the differences were statistically significant (all P <0.05). Conclusions The therapeutic effect of SPP and TURP on BPH is similar, but the operation time and hospitalization time of TURP are shorter, the amount of blood loss is less, the complication rate is lower and the overall effect is better.