摘要
目的探讨经尿道前列腺汽化电切除技术(TURP)联合钬激光碎石技术(HLL)或联合经皮肾镜气压弹道碎石技术(PCNL)应用于良性前列腺增生(BPH)合并膀胱结石中的疗效比较。方法抽取2018年6月—2019年6月在该院接受治疗的BPH合并膀胱结石患者78例为研究对象,按照随机数表法将其平均分为两组,即对照组与实验组,两组患者均为39例。对照组行TURP联合PCNL治疗,实验组行TURP联合HLL治疗,对比两组患者术前1 d与术后1个月的国际前列腺症状评分(IPSS)、生活质量(QOL)评分和患者并发症发生情况。结果实验组患者术前1 d的IPSS评分与对照组差异无统计学意义(P>0.05),术后1个月的IPSS评分(9.24±3.21)分显著低于对照组(16.35±3.42)分,差异有统计学意义(t=-10.345,P<0.05);实验组患者术前1 d的QOL评分与对照组差异无统计学意义(P>0.05),术后1个月(1.76±0.57)分明显低于对照组(3.35±1.42)分,差异有统计学意义(t=-6.275,P<0.05);实验组患者并发症发生率5.12%略低于对照组7.69%,差异无统计学意义(χ2=0.945,P>0.05)。结论对BPH合并膀胱结石患者行TURP联合HLL治疗效果优于TURP联合PCNL治疗,能够显著降低患者的IPSS和QOL评分,恢复患者的前列腺功能,改善患者的生活质量,降低患者并发症发生率。
Objective To investigate the application of transurethral electrovaporization of the prostate(TURP)combined with holmium laser lithotripsy(HLL)or combined with percutaneous nephroscope pneumatic lithotripsy(PCNL)in benign prostatic hyperplasia(BPH)combined with bladder stones;comparison of efficacy.Methods A total of 78 patients with BPH and bladder stones who were treated in the hospital from June 2018 to June 2019 were selected as the research objects,and they were divided into two groups according to the random number table method,namely the control group and the experimental group.There were 39 patients.The control group was treated with TURP combined with PCNL,and the experimental group was treated with TURP combined with HLL.The International Prostate Symptom Score(IPSS),Quality of Life(QOL)scores and complications of the two groups were compared one day before and one month after surgery.Results The IPSS score of the experimental group was not statistically significantly different from that of the control group 1 day before surgery(P>0.05),and the IPSS score of(9.24±3.21)points 1 month after surgery was significantly lower than that of the control group(16.35±3.42)points.The difference was statistically significant(t=-10.345,P<0.05);the QOL score of the experimental group was not significantly different from that of the control group 1 day before surgery(P>0.05),and it was significant at 1 month after surgery(1.76±0.57)points Lower than the control group(3.35±1.42)points,the difference was statistically statistically significant(t=-6.275,P<0.05);the complication rate of the experimental group was 5.12%slightly lower than the control group 7.69%,the difference was not statistically significant(χ2=0.945,P>0.05).Conclusion The effect of TURP combined with HLL treatment on patients with BPH combined with bladder stones is better than TURP combined with PCNL treatment.It can significantly reduce the patients’IPSS and QOL scores,restore the patients’prostate function,improve the patients’quality of life,and reduce the incidence of complications.
作者
赵凯
ZHAO Kai(Department of Urology,Gaotang County People's Hospital of Shandong Province,Liaocheng,Shandong Province,252800 China)
出处
《系统医学》
2020年第19期67-69,共3页
Systems Medicine
