经尿道等离子前列腺电切术对良性前列腺增生的疗效评估  

Evaluation of efficacy of transurethral plasmakinetic resection of prostate of benign prostatic hyperplasia

作　　者：蒋鸿涛[1] 秦国庆[1] 刘罗根[2] 章运生[2] 周明澍 张弘[3] 王毅[1] 

机构地区：[1]南华大学附属第二医院泌尿外科,湖南衡阳421000 [2]南华大学附属第二医院临床实验室,湖南衡阳421000 [3]南华大学临床学院,湖南衡阳421000

出　　处：《中国当代医药》2017年第19期61-64,共4页China Modern Medicine

摘　　要：目的探讨经尿道前列腺电切术对良性前列腺增生患者术中出血量、治疗效果及术后并发症的影响。方法对我院2015年1月~2017年1月收治的80例良性前列腺增生患者的临床资料进行回顾性分析,依据治疗方法将这些患者分为经尿道前列腺电切术组(研究组,n=40)和开放性外科手术腺体切除术组(对照组,n=40),对两组患者的手术时间、术中出血量、留置导尿管时间、国际前列腺症状评分(IPSS)评分、最大尿率(Qmax)、剩余尿量(RUV)、生活质量量表(QOL)评分、治疗效果、术后并发症发生情况进行统计分析。结果研究组患者的手术时间、留置导尿管时间均短于对照组,差异有统计学意义(P<0.05),术中出血量显著少于对照组(P<0.05),IPSS评分、RUV均显著低于对照组(P<0.05),Qmax、QOL评分均显著高于对照组(P<0.05),治疗的总有效率[92.5%(37/40)]高于对照组[75.0%(30/40)],差异有统计学意义(P<0.05),术后并发症发生率[17.5%(7/40)]显著低于对照组[35.0%(14/40)],差异有统计学意义(P<0.05)。结论经尿道前列腺电切术较开放性外科手术腺体切除术更能有效减少良性前列腺增生患者的术中出血量,提升治疗效果,减少患者的术后并发症。Objective To investigate the effeets of transurethral resection of prostate on intraoperative blood loss, thera- peutic effect and postoperative complications of patients with benign prostatic hyperplasia （BPH）.Methods The clinical data of 80 eases of patients with benign prostatic hyperplasia in our hospital from January 2015 to January 2017 were retrospectively analyzed,these patients were divided into TURP group （study group,n=40） and open surgieal gland resection group （control group,n=40） two groups according to the treatment methods,the operation time,intraoperative blood loss,indwelling catheter time,IPSS scores, Qmax, RUV, QOL seores,therapeutic effects,postoperative complications of the two groups were statistically analyzed.Results The operation time,indwelling eatheter time of the study group were significantly shorter（P〈0.05）, the intraoperative blood loss was signifieantly less（P〈0.05）, the IPSS score, RUV were significantly lower （P〈0.05）,the Qmax, QOL score were significantly higher （P〈0.05）,the totaI treatment effieiency [92.5%（37/40）] was significantly higher than that of the control group [75.0%（30/40）]（P〈0.05）, the postoperative complications rate [17.5%（7/40）] was significantly lower than that of the control group [35.0%（14/40）]（P〈5.05）.Conclusion Transurethral resection of prostate is more effective in reducing the intraoperative blood loss,improving the therapeutic effeet,reduee the postoperative complications of patients with benign prostatie hyperplasia than open surgical gland resection.

关 键 词：经尿道前列腺电切术 良性前列腺增生 术中出血量 治疗效果 术后并发症 

分 类 号：R697.32[医药卫生—泌尿科学]