Research of the efficacy of simultaneous minimally invasive surgery and staged minimally invasive surgery in the treatment of BPH with lower ureteral junction / 中国基层医药

ABSTRACT

Objective To compare the efficacy of simultaneous minimally invasive surgery and staged minimally invasive surgery in the treatment of benign prostatic hyperplasia (BPH) with lower ureteral junction.Methods From August 2016 to August 2017,76 cases of BPH complicated with lower ureteral junction in Lanxi People's Hospital were selected.According to random number table method,the patients were randomly divided into control group and observation group.The control group received the stage of minimally invasive treatment,the observation group was treated with minimally invasive surgery.The incidence of complications 7d after operation was observed.Before operation and 3 months after operation,the prostate symptom score (IPSS),quality of life score (QOL),residual urine volume (RU),maximum urinary flow rate (MFR) were observed in the two groups.The patients' satisfaction with the treatment was investigated in the two groups.Results The amount of blood loss,total operation time,hospitalization time of the observation group and control group were (101.29 ± 10.01) mL vs.(187.62 ± 11.69)mL,(140.12 ±9.81)min vs.(163.98 ± 10.07) min,(8.12 ±0.73) d vs.(13.49 ± 1.21) d,the differences were statistically significant (t =34.579,10.462,23.425,all P ＜ 0.05).Before treatment,the MFR,RU,IPSS and QOL between the two groups had no statistically significant differences (all P ＞ 0.05).Mter treatment,the MFR,RU,IPSS and QOL of the control group and observation group were (19.04 ± 2.17) mL/s vs.(18.87 ± 2.04) mL/s,(30.67 ± 8.19) mL vs.(29.51 ± 8.06) mL,(8.47 ± 1.06) points vs.(8.53 ± 1.02) points,(2.69 ± 0.68) points vs.(2.58 ± 0.61) points,the MFR,RU,IPSS and QOL were significantly improved (t =27.971 and 28.809,74.327 and 74.941,33.440 and 33.670,12.122 and 14.589,all P ＜0.05).After treatment,there were no statistically significant differences in the above indicators between the two groups (t =0.352,0.622,0.251,0.742,all P ＞ 0.05).Postoperative 7 days,the incidence rate of complications of the observation group was 31.58％ (12/38),which of the control group was 21.05％ (8/38),there was no statistically significant difference between the two groups (x2 =1.086,P ＞ 0.05).The satisfaction rate of the observation group was 81.58％ (31/38),the total satisfaction rate was 97.37％ (37/38).The satisfaction rate of the control group was 47.37％ (18/38),and the total satisfaction rate was 76.32％ (29/38).The satisfaction of the observation group was better than that of the control group(Z =-3.290,P ＜ 0.05).Conclusion The curative effect of minimally invasive surgery in the treatment of BPH with middle and lower ureteral calculi is exact,and can reduce the amount of bleeding,shorten operation time and total hospitalization time,faster postoperative recovery in patients with higher satisfaction,it is worthy of clinical promotion.