王兴亮

[关键词] 经尿道前列腺切除术;前列腺增生症;出血量;膀胱冲洗时间

[中图分类号] R697.3          [文献标识码] B          [文章编号] 1673-9701（2021）22-0054-03

Effect of transurethral prostatectomy on clinical efficacy， blood loss， blood transfusion volume and bladder washing time of patients with prostatic hyperplasia

WANG Xingliang

Department of Urology， Tai′an City Central Hospital， Tai′an   271000，China

[Abstract] Objective To investigate the effect of transurethral prostatectomy on clinical efficacy， blood loss， blood transfusion volume and bladder washing time of patients with prostatic hyperplasia. Methods A total of 94 patients with prostate hyperplasia who were treated in our hospital from January 2019 to December 2019 were selected as the research subjects， and were randomly set as the study group and the control group. Open surgery was performed in the control group and transurethral prostatectomy was performed in the study group. Clinical indicators， clinical treatment effects and complications were compared between the two groups. Results The incidence of complications in the study group （6.41%） was lower than that in the control group （19.12%） （P<0.05）. In the study group， the IIEF-5 score （20.30±2.70）points and maximum urine flow （19.62±1.01）mL/s were higher than （15.30±1.30）points and （14.52±1.11）mL/s in the control group; the PVR index （10.71±3.65）mL was lower than that in the control group （17.32±3.90） mL （P<0.05）. In the study group， the amount of intraoperative blood loss （217.11±10.67）mL， the amount of blood transfusion （191.23±12.91）mL， the bladder washing time （4.42±1.30）d and the length of hospital stay （7.31±1.70）d were all lower than （325.30±25.21）mL and （297.62±13.33）mL， （10.05±1.11）d， （12.43±2.61）d in the control group （P<0.05）. Conclusion Transurethral prostatectomy for patients with prostatic hyperplasia can effectively reduce the amount of intraoperative blood loss and blood transfusion， and significantly shorten the bladder washing time， with better clinical effect and less postoperative complications， which is conducive to postoperative recovery of patients.

[Key words] Transurethral prostatectomy; Prostatic hyperplasia; Blood loss; Bladder washing time

前列腺增生是泌尿外科中較为常见的疾病类型，该类患者大多存在夜尿增加以及排尿困难等情况，且主要以中老年患者为多发群体[1]。近年来，伴随着我国人口老龄化的增加致使前列腺增生患者的发病率也逐渐呈递增趋势，严重威胁中老年患者的身体健康及生命安全[2]。在传统的治疗方案中，对前列腺增生患者主要以药物治疗为主，该方法能够促使患者病情得到一定程度缓解，但随着用药时间延长极易导致耐药性产生，不利于整体治疗效果提升[3]。目前，手术治疗是对前列腺增生患者的主要治疗方案，但选择不同的手术方式其治疗效果也存在一定差异。本研究通过对前列腺增生患者采用经尿道前列腺切除术治疗，进而探讨其效果，现报道如下。