经尿道前列腺等离子双极汽化电切术治疗老年高危前列腺增生临床观察  

Clinical observation of plasma bipolar transurethral transurethral resection in the treatment of high-risk elderly patients with benign prostatic hyperplasia

作　　者：朱建坦[1] 初铭彦[1] 丁军平[1] 赵书斌[1] 

机构地区：[1]柳州市柳铁中心医院泌尿外科,广西柳州545007

出　　处：《中国性科学》2016年第8期5-7,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨老年高危前列腺增生患者中经尿道前列腺等离子双极汽化电切术的应用效果。方法:随机选取2012年8月至2015年8月我院收治的112例老年高危前列腺增生患者,依据随机数字表法将这些患者分为两组,即研究组(n=56)和对照组(n=56)。给予对照组患者经尿道前列腺电切术治疗,给予研究组患者经尿道前列腺等离子双极汽化电切术治疗。结果:和对照组相比,研究组患者的手术时间、术后膀胱冲洗时间均显著较短(P<0.05),术中出血量显著较少(P<0.05);组内比较,两组患者治疗后的IPSS、PVR、QOL均显著低于治疗前(P<0.05),MFR均显著高于治疗前(P<0.05);研究组患者的术后并发症发生率5.4%(3/56)显著低于对照组17.9%(10/56)(P<0.05)。结论:经尿道前列腺等离子双极汽化电切术在老年高危前列腺增生患者中的应用效果较好,值得推广。Objectives： To investigate the application effect of plasma bipolar transurethral transurethral resection in high- risk elderly patients with benign prostatic hyperplasia. Methods： 112 elderly patients with high-risk benign prostatic hyperplasia in our hospital from August 2012 to August 2015 were randomly selected and divided into two groups according to the random number table,the study group（ n = 56） and control group（ n = 56）.The control group was given transurethral resection,while the study group was given plasma bipolar transurethral transurethral resection. Results： The operative time,postoperative bladder irrigation time of the study group was significantly shorter（ P〈0. 05） and the blood loss was significantly less than the control group（ P〈0. 05）. The IPSS,PVR,QOL after treatment of the two groups were significantly lower（ P〈0. 05）,the MFR was significantly higher than before treatment（ P〈0. 05）. The postoperative complication rate of the study group（ 5. 4%,3 /56）was significantly lower than the control group（ 17. 9%,10 /56）（ P〈0. 05）. Conclusions： Plasma bipolar transurethral transurethral resection in high- risk elderly patients with benign prostatic hyperplasia has better application effect,worthy of promotion.

关 键 词：老年高危前列腺增生患者 经尿道前列腺等离子双极汽化电切术 应用 

分 类 号：R697.32[医药卫生—泌尿科学]