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目的:分析经尿道前列腺电切术的临床疗效及影响因素。方法选择2008年6月至2012年6月确山县第一人民医院收治并行经尿道前列腺电切术治疗的前列腺良性增生的170例患者为分析对象(研究组),观察患者疗效,并对患者进行IPSS、QOL进行评分。结果术中共2例患者输血,输血量为400～500ml;2例术中局限性包膜穿孔;2例出现TURS先兆;暂时性尿失禁6例,均于5～7d恢复正常。术后测定患者的Qmax、Qave、RU分别为(16.93±4.89)ml/s、(11.02±1.83)ml/s、(15.72±27.92)ml,与术前患者Qmax、Qave、RU相比差异具有明显性(P<0.01)。术后患者IPSS(8.98±1.01)与QOL(2.17±1.25)评分也均明显低于术前IPSS(23.57±2.23)与QOL(4.68±0.92)评分(P<0.01)。logistic多因素分析结果表明术前感染史对于患者疗效影响最大。结论经尿道前列腺电切术治疗良性前列腺增生疗效好,但是其影响因素较多,在治疗过程中应该极力避免,防止并发症的发生。
Objective: To analyze the clinical efficacy and influencing factors of transurethral resection of prostate. Methods 170 patients with benign prostatic hyperplasia treated by transurethral resection of the prostate in First People’s Hospital of Queshan County from June 2008 to June 2012 were selected as the study group (study group). The curative effect was observed and the patients IPSS, QOL score. Results A total of 2 patients were transfused with blood transfusion volume of 400-500ml in 2 cases. There were 2 cases of localized perforation in the capsule, 2 cases of TURS aura and 6 cases of temporary urinary incontinence. All returned to normal after 5 ~ 7d. The postoperative Qmax, Qave and RU were (16.93 ± 4.89) ml / s and (11.02 ± 1.83) ml / s and (15.72 ± 27.92) ml, respectively, which were significantly lower than those of Qmax, Qave and RU Obvious (P <0.01). Postoperative IPSS (8.98 ± 1.01) and QOL (2.17 ± 1.25) scores were also significantly lower than preoperative IPSS (23.57 ± 2.23) and QOL (4.68 ± 0.92) scores (P <0.01). Logistic multivariate analysis showed that the history of preoperative infection had the greatest effect on the efficacy of the patients. Conclusion Transurethral resection of the prostate for the treatment of benign prostatic hyperplasia has a good effect, but its influencing factors are numerous and should be avoided in the course of treatment to prevent the occurrence of complications.