经尿道等离子前列腺电切术和剜除术治疗前列腺增生的随机对照研究  

Transurethral resection of plasma prostate and resection for benign prostatic hyperplasia:a randomized controlled trial

作　　者：高华[1] 李世江[1] 王绍丽[1] 

机构地区：[1]玉溪市中医医院外二科,云南玉溪653100

出　　处：《当代医学》2018年第8期51-53,共3页Contemporary Medicine

摘　　要：目的分析经尿道等离子前列腺电切术和剜除术治疗前列腺增生的随机对照。方法选取2015年2月~2017年2月期间本院收治的前列腺增生100例患者,抽签化分组,每组50例,对照组和观察组分别采用经尿道等离子前列腺电切术治疗和经尿道等离子前列腺剜除术治疗。结果观察组患者的IPSS评分(6.31±0.58)分、逆行射精率(12.00%)、勃起功能障碍率(40.00%)、手术时间(60.31±5.78)min、标本重量(46.82±5.28)g、膀胱冲洗时间(12.33±2.86)h、尿管留置时间(45.12±3.85)h、不良事件发生率(2.00%)、QOL评分(91.39±0.15)分、Q_(max)(25.63±2.85)ml/s、RUV(3.12±0.75)ml均优于对照组(P<0.05)。结论对前列腺增生患者实施经尿道等离子前列腺剜除术治疗效果更为显著。Objective To analyze a randomized controlled trial of transurethral resection of prostate and excision for benign prostatic hyperplasia. Methods From February 2015 to February 2017, 100 patients with benign prostatic hyperplasia in our hospital were randomly divided into two groups. Each group consisted of 50 patients. The control group and observation group were treated by transurethral resection of prostate and transurethral plasma prostatic loop In addition to surgery. Results The IPSS score(6.31 ± 0.58), retrograde ejaculation rate(12.00%), erectile dysfunction rate(40.00%), operation time(60.31 ± 5.78) min and specimen weight(12.33 ± 2.86) h, catheter indwelling time(45.12 ± 3.85) h, incidence of adverse events(2.00%), QOL score(91.39 ± 0.15), Q_(max)(25.63 ± 2.85) ml/s, RUV(3.12 ± 0.75) ml were better than the control group(P <0.05). Conclusion Transurethral plasma prostatectomy is more effective in patients with benign prostatic hyperplasia.

关 键 词：经尿道等离子前列腺电切术 经尿道等离子前列腺剜除术 前列腺增生 

分 类 号：R699.8[医药卫生—泌尿科学]