经尿道前列腺等离子电切术治疗前列腺增生症的疗效及其对患者生活质量的影响  

Effect of plasma kinetic resection of prostate in the treatment of benign prostatic hyperplasia and its effect on quality of life

作　　者：吴俊雁 潘杰[1] 肖玉玲[1] 潘小龙 WU Jun-yan;PAN Jie;XIAO Yu-ling;PAN Xiao-long(Department of Urology,the People's Hospital of Yingde City,Yingde 513000,Guangdong,CHINA)

机构地区：[1]英德市人民医院泌尿外科,广东英德513000

出　　处：《海南医学》2019年第1期57-59,共3页Hainan Medical Journal

摘　　要：目的探讨经尿道前列腺等离子电切术治疗前列腺增生症的疗效及其对患者生活质量的影响。方法选择2016年1月至2017年8月期间英德市人民医院泌尿外科收治的110例良性前列腺增生症患者为研究对象,根据随机数表法分为对照组和观察组,每组55例,对照组患者予经尿道前列腺电切术(TURP)治疗,观察组则予经尿道前列腺等离子电切术(PKRP)治疗,比较两组患者的手术时间、术中出血量以及切除组织重量、术后并发症发生率;术前及术后3个月测定两组患者的最大尿流率(Qmax),并评价生活质量(QOL评分)。结果观察组患者的手术时间、术中出血量及切除组织重量分别为(44.2±11.5) min、(58.8±13.2) mL、(24.2±7.4) g,均明显小于对照组的(56.3±23.1) min、(116.4±18.9) m L、(36.9±10.2) g,差异均有统计学意义(P<0.05);观察组患者术后发生并发症发生率为9.09%,明显低于对照组的23.64%,差异有统计学意义(P<0.05);术后3个月,观察组患者的Qmax和QOL评分分别为(19.5±7.5) mL/s、(12.5±3.1)分,均明显高于对照组的(14.3±5.2) mL/s、(9.4±1.8)分,差异均有统计学意义(P<0.05)。结论经尿道前列腺等离子电切术治疗前列腺增生症的疗效优于TURP,术后并发症发生率低,并且可以有效改善患者的生活质量。Objective To investigate the effect of plasma kinetic resection of prostate(PKRP) in the treatment of benign prostatic hyperplasia(BPH) and its effect on the quality of life. Methods During January 2016 to August2017, 110 BPH patients treated in the Department of Urology, the People’s Hospital of Yingde City were selected and divided into two groups according to random number table, with 55 patients in each group. The control group was treated with transurethral resection of prostate(TURP), and the observation group was treated with PKRP. The operative time,blood loss, and the weight of resected tissue, and postoperative complications rate between two groups were compared.At preoperative and postoperative three months, the determined maximum urine flow rate(Qmax) and quality of life(QOL) were compared. Results The operation time, blood loss, and the weight of resected tissue in the observation group respectively were(44.2 ± 11.5) min,(58.8 ± 13.2) m L,(24.2 ± 7.4) g, significantly lower than(56.3 ± 23.1) min,(116.4±18.9) mL,(36.9±10.2) g in the control group(P<0.05). The incidence of postoperative complications in the observation group was 9.09%, which was significantly lower than 23.64% in the control group(P<0.05). Three months after surgery, Qmax and QOL scores in observation group was(19.5±7.5) mL/s,(12.5±3.1), significantly higher than(14.3±5.2) mL/s,(9.4±1.8) in the control group(P<0.05). Conclusion The PKRP has better curative effect than TURP, and it can effectively improve the quality of life of BPH patients, with low incidence of postoperative complications.

关 键 词：前列腺增生 经尿道前列腺等离子电切术 生活质量 疗效 

分 类 号：R697.3[医药卫生—泌尿科学]