经尿道电切治疗高危前列腺增生的效果探究
摘要
目的:探讨经尿道电切治疗高危前列腺增生的效果。方法:选择2017年2月-2018年3月高危前列腺增生患者90例,根据手术方法分组,对照组进行传统前列腺电切手术,经尿道选择性电切手术组(电切组)进行经尿道选择性电切手术。比较两组临床疗效;手术实施的时间、组织切除量、术后残尿量、置管时间、住院时间;手术前后患者疾病症状积分、SF-36生活质量分数;出血等并发症发生率。结果:电切组临床疗效高于对照组(P<0.05);电切组手术实施时间、组织切除量、术后残尿量、置管时间、住院时间均优于对照组(P<0.05);手术前两组疾病症状积分、SF-36生活质量评分差异无统计学意义(P>0.05);电切组疾病症状积分、SF-36生活质量评分优于对照组(P<0.05)。电切组出血等并发症发生率低于对照组(P<0.05)。结论:高危前列腺增生患者行经尿道选择性电切手术疗效非常理想,可有效减少并发症的发生率,改善患者症状和生活质量。
引文
[1]韦兴聪,韦巍.经尿道电切手术治疗高危前列腺增生的效果及安全性分析[J].河南医学研究,2017,26(10):1765-1767.
[2]刘培明.保列治联合经尿道等离子体电切术治疗高危前列腺增生的效果[J].社区医学杂志,2016,14(20):64-65.
[3]陆兆祥,梁法政,江墩勤,等.经尿道等离子电切术治疗高龄高危前列腺增生患者的疗效[J].安徽医学,2016,37(4):438-440.
[4]De Luca S,Passera R,Cappia S,et al.Pathological Patterns of Prostate Biopsy in Men with Fluctuations of Prostate Cancer Gene 3 Score:APreliminary Report[J].Anticancer Research:International Journal of Cancer Research and Treatment,2015,35(4):2417-2422.
[5]谭立中.经尿道前列腺等离子电切术联合气压弹道碎石术治疗高龄高危前列腺增生并膀胱结石的临床效果[J].中外医学研究,2015,13(19):25-26.
[6]Capogrosso P,Boeri L,Serino A,et al.Long-term erectile function outcomes in aptients submitted to either trans-urethral resection(turp)or holmium laser enucleation of the prostate(holep)[J].The Journal of Sexual Medicine,2015,12(Suppl.1):45-46.
[7]杨少东.前列腺中叶电切治疗临床疗效分析[J].基层医学论坛,2015,19(13):1858-1859.
[8]曲宪东,何利,陈俊明,等.高危前列腺增生患者行经尿道前列腺汽化电切术的围术期护理[J].解放军护理杂志,2015,32(7):36-38.
[9]孙菊元,林思进,殷波,等.经尿道前列腺等离子汽化切除术治疗高危前列腺增生65例临床观察[J].海南医学,2014,25(14):204.
[10]Netsch C,Bach T.Vaporization vs enucleation techniques for BPO:do we have a standard?[J].Current Opinion in Urology,2015,25(1):45-52.
[11]苟成毅,曲小勇,高永峰,等.经尿道前列腺电切术治疗高危前列腺增生症的临床分析[J].卫生职业教育,2015,33(11):147-148.
[12]Guo,S,Mueller G,Lehmann K,et al.The 80-W KTP GreenLight laser vaporization of the prostate versus transurethral resection of the prostate(TURP):adjusted analysis of 5-year results of a prospective nonrandomized bi-center study[J].Lasers in Medical Science,2015,30(3):1147-1151.
[2]刘培明.保列治联合经尿道等离子体电切术治疗高危前列腺增生的效果[J].社区医学杂志,2016,14(20):64-65.
[3]陆兆祥,梁法政,江墩勤,等.经尿道等离子电切术治疗高龄高危前列腺增生患者的疗效[J].安徽医学,2016,37(4):438-440.
[4]De Luca S,Passera R,Cappia S,et al.Pathological Patterns of Prostate Biopsy in Men with Fluctuations of Prostate Cancer Gene 3 Score:APreliminary Report[J].Anticancer Research:International Journal of Cancer Research and Treatment,2015,35(4):2417-2422.
[5]谭立中.经尿道前列腺等离子电切术联合气压弹道碎石术治疗高龄高危前列腺增生并膀胱结石的临床效果[J].中外医学研究,2015,13(19):25-26.
[6]Capogrosso P,Boeri L,Serino A,et al.Long-term erectile function outcomes in aptients submitted to either trans-urethral resection(turp)or holmium laser enucleation of the prostate(holep)[J].The Journal of Sexual Medicine,2015,12(Suppl.1):45-46.
[7]杨少东.前列腺中叶电切治疗临床疗效分析[J].基层医学论坛,2015,19(13):1858-1859.
[8]曲宪东,何利,陈俊明,等.高危前列腺增生患者行经尿道前列腺汽化电切术的围术期护理[J].解放军护理杂志,2015,32(7):36-38.
[9]孙菊元,林思进,殷波,等.经尿道前列腺等离子汽化切除术治疗高危前列腺增生65例临床观察[J].海南医学,2014,25(14):204.
[10]Netsch C,Bach T.Vaporization vs enucleation techniques for BPO:do we have a standard?[J].Current Opinion in Urology,2015,25(1):45-52.
[11]苟成毅,曲小勇,高永峰,等.经尿道前列腺电切术治疗高危前列腺增生症的临床分析[J].卫生职业教育,2015,33(11):147-148.
[12]Guo,S,Mueller G,Lehmann K,et al.The 80-W KTP GreenLight laser vaporization of the prostate versus transurethral resection of the prostate(TURP):adjusted analysis of 5-year results of a prospective nonrandomized bi-center study[J].Lasers in Medical Science,2015,30(3):1147-1151.