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目的观察经尿道前列腺电切联合膀胱颈电切术治疗小体积前列腺增生的临床效果。方法选取2013年12月-2017年1月医院收治的小体积前列腺增生患者60例,将其随机分为观察组和对照组,每组30例。对照组采用单纯尿道前列腺电切术治疗,观察组在对照组的基础上联合膀胱颈电切术治疗,比较2组患者的临床治疗效果。结果治疗前2组患者国际前列腺症状评分量表(IPSS)评分和最大尿流率比较差异均无统计学意义(P>0.05);治疗6个月后2组IPSS评分均降低,最大尿流率均升高,且观察组优于对照组,差异均有统计学意义(P<0.05)。结论经尿道前列腺电切联合膀胱颈电切术治疗小体积前列腺增生临床效果良好,术后并发症少,有利于患者恢复,值得临床推广应用。
Objective To observe the clinical effect of transurethral resection of prostate and bladder neck resection for small volume benign prostatic hyperplasia. Methods Sixty patients with benign prostatic hyperplasia (BPH) admitted in our hospital from December 2013 to January 2017 were randomly divided into observation group and control group, 30 cases in each group. The control group was treated by simple urethral resection of the prostate. The observation group was treated with bladder neck electrotomy on the basis of the control group. The clinical effects of the two groups were compared. Results There was no significant difference in IPSS score and maximum uroflow rate between the two groups before treatment (P> 0.05). After 6 months of treatment, the IPSS score of both groups decreased and the maximum urinary flow rate Were higher, and the observation group was better than the control group, the difference was statistically significant (P <0.05). Conclusions Transurethral resection of the prostate combined with resection of bladder neck for small volume benign prostatic hyperplasia has a good clinical effect and few postoperative complications, which is good for the recovery of patients. It is worthy of clinical application.