经尿道前列腺电切术与经尿道柱状水囊前列腺扩开术治疗老年良性前列腺增生的比较研究OACSTPCD

Objective To analyze the difference between transurethral resection of the prostate(TURP)and transure-thral columnar balloon dilation of the prostate(TUCBDP)in the treatment of benign prostatic hyperplasia(BPH)in the elder-ly,and provide a more scientific treatment strategy for the disease.Methods The clinical data of 150 elderly BPH patients ad-mitted to Jiaozhou Central Hospital of Qingdao City from February 2021 to February 2024 was retrospectively analyzed.Ac-cording to the different surgical methods,they were divided into TUCBDP group(78 cases)and TURP group(72 cases).Af-ter propensity score matching at a ratio of 1:1,patients with baseline balance were finally included in the two groups,with 67 cases in each group.The perioperative conditions and complications of the two groups were analyzed.Before and 90 days after surgery,urodynamic indicators[maximal urinary flow rate(Qmax),residual urine volume(RUV),bladder compliance(BC),maximal detrusor pressure(Pdet.max)]and disease outcomes[International Prostate Symptom Score(IPSS)and Quality of Life Scale for BPH patients(BPHQLS)score]were compared between the two groups.Results Compared with the TURP group,the surgical time,urinary catheter indwelling time,bladder irrigation time and hospital stay in the TUCBDP group were shorter,and the intraoperative blood loss was less(P＜0.05).90 days after surgery,the Qmax and BC in the two groups were higher than those of the same group before surgery,and the Qmax and BC in the TUCBDP group were higher than those in the TURP group(P＜0.05);the RUV and Pdet.max in the two groups were lower than those in the same group before surgery,and the RUV and Pdet.max in the TUCBDP group were lower than those in the TURP group(P＜0.05);the scores of IPSS and BPHQLS in the two groups were lower than those in the same group before surgery,and the above scores in the TUCB-DP group decreased more significantly(P＜0.05).The incidence of postoperative complications in the TUCBDP group were sig-nificantly lower than that in the TURP group(P＜0.05).During the follow-up period,there was no significant difference in the recurrence rate between the two groups(P＞0.05).Conclusion Compared with TURP,TUCBDP has more significant im-provement in perioperative indicators in elderly patients with BPH.It has advantages in promoting the recovery of urinary func-tion,reducing prostate symptoms,improving quality of life and safety,but it may have no effect on long-term outcomes.