KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT ĐỐT ĐIỀU TRỊ TĂNG SINH LÀNH TÍNH TUYẾN TIỀN LIỆT TẠI BỆNH VIỆN ĐA KHOA TỈNH BẮC KẠN

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Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2020

Mô tả vật lý: tr.166-175

Bộ sưu tập: Báo, Tạp chí

ID: 307734

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu nhằm đánh giá kết quả phẫu thuật nội soi cắt đốt điều trị tăng sinh lành tính tuyến tiền liệt tại Bệnh viện Đa khoa tỉnh Bắc Kạn. Nghiên cứu tiến hành theo phương pháp mô tả, cắt ngang trên 78 bệnh nhân, chẩn đoán tăng sinh lành tính tuyến tiền liệt có chỉ định phẫu thuật nội soi cắt đốt. Kết quả sau phẫu thuật, triệu chứng được cải thiện nhiều nhất là đái khó 61,5%
bí đái 32,1%. Tỷ lệ bệnh nhân có lượng nước tiểu tồn dư sau khi đi tiểu ở mức trên 100 ml giảm từ 26,9% xuống 0% sau phẫu thuật (p<
0,001). Tỷ lệ bệnh nhân có điểm triệu chứng tuyến tiền liệt (IPSS) ở mức độ nặng giảm từ 80,8% xuống còn 0%. Mức độ chất lượng cuộc sống của người bệnh bị ảnh hưởng nặng giảm từ 74,4% xuống còn 1,3%. Kết quả sau phẫu thuật: Tốt 85,9%
Trung bình 6,4%
Kém 7,7%. Phẫu thuật nội soi cắt đốt điều trị tăng sinh lành tính tuyến tiền liệt- là phẫu thuật tiêu chuẩn có kết quả tốt, làm giảm các triệu chứng lâm sàng, cải thiện các triệu chứng cận lâm sàng và điểm triệu chứng tuyến tiền liệt IPSS, giảm lượng nước tiểu tồn dư sau đi tiểu và cải thiện chất lượng cuộc sống người bệnh sau phẫu thuật.The aim of the study is to evaluate the effects of endoscopic surgery of transurethral resection of prostate for treating benign prostatic hyperplasia in Backan General Hospital. The study was carried out by cross-sectional descriptive studies on 78 patients with diagnosis of benign prostatic hyperplasia who were indicated to transurethral resection prostate. After surgery, the results got as the following: the most improved symptom was dysuria 61.5%
dysuria 32.1%. The proportion of patients with residual urine after urination above 100 ml decreased from 26.9% to 0% after surgery, (p<
0.001). The percentage of patients with severe prostate symptom score (IPSS) reduced from 80.8% to 0%. The level of severely affected patients’ life quality lowered from 74.4% to 1.3%. The results after surgery were good 85.9%
average 6.4% and poor 7.7% respectively. Endoscopic surgery of transurethral resection of prostate for treatment of benign prostatic hyperplasia is a standard good method which reduces clinical symptoms, improves sub-clinical symptoms and prostate symptom score (IPSS), lowers urine residue after urination and enhances quality of patients’ life after surgery.

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