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经尿道电切术在泌尿外科治疗中的临床应用探讨(1)
http://www.100md.com 2019年7月15日 《中外医疗》 2019年第20期
     [摘要] 目的 經尿道电切术在泌尿外科治疗中的临床应用分析。方法 方便选取2017年7月—2018年7月期间该院的78例前列腺增生患者作为该次研究对象,在常规治疗的基础上对患者进行术前综合评估,选择适宜的时间对所有患者实施经尿道电切手术,对比治疗前后的生活质量评分、前列腺症状评分、最大尿流量对比,以及手术成功率。结果 78例患者手术平均时间为(60.9±19.3)min,术中平均出血量(123.8±82.1)mL,手术成功率100.00%;生活质量评分对比,治疗前平均(4.41±0.89)分,治疗后平均(5.77±1.09)分,差异有统计学意义(t=7.113,P<0.05);前列腺症状评分对比,治疗前平均(24.12±3.28)分,治疗后平均(13.43±3.24)分,差异有统计学意义(t=6.052,P<0.05);最大尿流量对比,治疗前平均(5.39±1.98)mL/s,治疗后平均(7.27±2.88)mL/s,差异有统计学意义(t=6.335,P<0.05)。 结论 经尿道电切术在泌尿外科前列腺疾病治疗中应用效果显著,手术成功率高,生活质量提高显著,治疗效果满意,值得临床推广使用。
, 百拇医药
    [关键词] 经尿道电切术;泌尿外科;手术成功率;生活质量评分;前列腺症状评分

    [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2019)07(b)-0034-03

    Clinical Application of Transurethral Resection in Urological Treatment

    ZHAI Zhong-yun

    Department of Urology, Third People's Hospital of Dezhou, Dezhou, Shandong Province, 253000 China

    [Abstract] Objective To analyze the clinical application of transurethral resection in urology. Methods A total of 78 patients with benign prostatic hyperplasia from July 2017 to July 2018 were conveniently selected in this study. Based on routine treatment, patients underwent comprehensive preoperative evaluation and selected appropriate time for all patients. Urethral resection, comparing quality of life scores before and after treatment, prostate symptom scores, maximum urine flow comparison, and surgical success rate. Results The average operation time of 78 patients was (60.9±19.3) min, the average blood loss was (123.8±82.1)mL, the success rate was 100.00%, the quality of life score was compared, the average before treatment (4.41±0.89)points, after treatment the mean (5.77±1.09) points, the difference was statistically significant (t=7.113, P<0.05); the prostate symptom scores were compared, the average before treatment (24.12±3.28)points, the average after treatment (13.43±3.24)points, the difference was statistically significant (t=6.052, P<0.05); maximum urinary flow contrast, mean (5.39±1.98) mL/s before treatment, mean (7.27±2.88)mL/s after treatment, the difference was statistically significant (t=6.335, P<0.05). Conclusion Transurethral resection is effective in the treatment of urological prostatic diseases. The success rate of surgery is high, the quality of life is improved, the treatment effect is satisfactory, and it is worthy of clinical promotion.

    [Key words] Transurethral resection; Urology; Surgical success rate; Quality of life score; Prostate symptom score, 百拇医药(翟忠云)
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