摘要
目的观察和分析微创手术治疗前列腺增生合并输尿管结石的临床效果。方法该实验于2017年7月—2018年7月在该院进行,随机选取此时段内收治的50例前列腺增生合并输尿管结石患者为研究对象,并对所有患者实施微创手术进行治疗,观察50例前列腺增生合并输尿管结石患者治疗前后相关手术指标变化情况,探讨微创手术在其中的应用价值。结果微创手术治疗前患者的RU、QOL、PISS均要高于治疗之后,RU治疗前后指标为(230.6±2.6)mL、(25.8±2.4)mL,(t=409.272 7,P=0.000 0);QOL治疗前后指标为(12.7±10.8)分、(2.6±6.3)分(t=5.712 0,P=0.000 0);PISS治疗前后指标为(28.9±2.8)分、(6.3±1.5)分(t=50.309 3,P=0.000 0),其中MFR要低于治疗后,指标分别为(8.4±3.1)m L/s、(18.9±2.6)mL/s,(t=18.350 6,P=0.000 0),组间差异有统计学意义(P<0.05);手术治疗之前患者不良反应发生率也要高于治疗后,分别为34.0%(17/50)和6.0%(3/50),差异有统计学意义(χ~2=4.000 5,P=0.001 2)。结论将微创手术应用到前列腺增生合并输尿管结石治疗中,可以取得较好的治疗效果,并且减少患者不良反应情况发生,促进患者预后,应用价值高。
Objective To observe and analyze the clinical effect of minimally invasive surgery for benign prostatic hyperplasia complicated with ureteral calculi. Methods This study was performed in our hospital from July 2017 to July 2018. 50 patients with benign prostatic hyperplasia complicated with ureteral calculi admitted to this study were enrolled in this study. All patients underwent minimally invasive surgery for treatment. The changes of surgical indexes before and after treatment of patients with benign prostatic hyperplasia complicated with ureteral calculi, and the application value of minimally invasive surgery. Results The patients with RU, QOL and PISS before minimally invasive surgery were higher than those after treatment. The indexes before and after RU treatment were(230.6±2.6)mL,(25.8±2.4)mL,(t=409.272 7,P=0.0000);QOL treatment indicators before and after were(12.7±10.8) points,(2.6±6.3) points,(t=5.712 0, P=0.000 0);the indicators before and after PISS treatment were(28.9 ±2.8)points,(6.3±1.5) points,(t=50.309 3, P=0.000 0), wherein the MFR was lower than the treatment, the indicators were(8.4±3.1)mL/s,(18.9±2.6)mL/s,(t=18.350 6,P=0.000 0), the difference between the groups was statistically significant(P<0.05);the incidence of adverse reactions before surgery was higher than that after treatment, 34.0%(17/50) and 6.0%(3/50), the difference was significant(χ^2=4.000 5, P=0.001 2). Conclusion The application of minimally invasive surgery to the treatment of benign prostatic hyperplasia complicated with ureteral calculi can achieve better therapeutic effect, reduce the occurrence of adverse reactions, promote the prognosis of patients, and have high application value.
作者
鲁云
LU Yun(Department of Urology, Dali People's Hospital, Dali, Yunnan Province, 671000 China)
出处
《中外医疗》
2019年第7期32-34,共3页
China & Foreign Medical Treatment
关键词
前列腺增生合并输尿管结石
微创手术
临床效果
观察
Benign prostatic hyperplasia complicated with ureteral calculi
Minimally invasive surgery
Clinical effect
Observation
