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目的探讨经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)患者的临床效果。方法选取2011年5月至2015年5月长春市中心医院收治的276例BPH患者作为研究对象,采用随机数字表法将其分为观察组与对照组,各138例。观察组患者采用TURP,对照组患者采用传统开腹手术,比较两组患者术中和术后情况。结果观察组患者手术时间、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);治疗后,观察组患者的列腺症状评分(IPSS)、生命质量评分(QOL)及残余尿量(RUV)均明显低于对照组,最大尿流率(Qmax)明显高于对照组,差异均有统计学意义(均P<0.05)。结论 TURP治疗BPH患者临床疗效明显,可有效改善患者临床症状,具有安全性高、出血量少、创伤小、恢复快的优点。
Objective To investigate the clinical effect of transurethral resection of prostate (TURP) on benign prostatic hyperplasia (BPH). Methods A total of 276 patients with BPH who were admitted to Changchun Central Hospital from May 2011 to May 2015 were selected as study subjects and divided into observation group and control group by random number table method, with 138 cases in each group. The patients in the observation group were treated with TURP, and the patients in the control group were treated by conventional laparotomy. The intraoperative and postoperative conditions were compared between the two groups. Results The operation time and hospital stay of the observation group were significantly shorter than those of the control group. The blood loss in the observation group was significantly less than that of the control group (all P <0.05). After treatment, (IPSS), quality of life score (QOL) and residual urine volume (RUV) were significantly lower than those of the control group. The maximum flow rate (Qmax) was significantly higher than that of the control group (all P <0.05). Conclusion TURP treatment of BPH patients with significant clinical efficacy, which can effectively improve the clinical symptoms of patients with high safety, less bleeding, less trauma, the advantages of rapid recovery.