经尿道前列腺电切术与经尿道双极等离子电切术治疗良性前列腺增生比较分析及安全性  

Analysis of Comparison of Transurethral Resection of Prostate and Transurethral Bipolar Plasmakinetic Resection in Treatment of Benign Prostatic Hyperplasia and Safety

作　　者：吴爱斌[1] WU Ai-bin(Department of Urinary Surgery,Danyang People’s Hospital,Danyang,Jiangsu Province,212300 China)

机构地区：[1]江苏省丹阳市人民医院泌尿外科,江苏丹阳212300

出　　处：《系统医学》2018年第22期72-73,88,共3页Systems Medicine

摘　　要：目的探讨经尿道前列腺电切术与经尿道双极等离子电切术治疗良性前列腺增生的临床疗效。方法从2010年1月—2018年5月期间在该院接受治疗的良性前列腺增生患者中选取52例展开研究,根据治疗方式不同分组,对照组26例使用经尿道前列腺电切术治疗,研究组26例行经尿道双极等离子电切术治疗,对比分析两组的手术指标、术后并发症发生情况以及术后尿道功能指标。结果研究组手术时间、术中出血量分别为(64.33±13.68)min,(223.57±55.31)mL,显著少于对照组,差异有统计学意义(t=4.297、6.836,P<0.05);研究组症术后并发症发生率为3.85%,显著少于对照组的19.23%,差异有统计学意义(χ~2=5.893,P<0.05);研究组的前列腺症状评分、最大尿流率分别为(7.11±0.33)分、(15.03±0.81)mL/s,均显著优于对照组,差异有统计学意义(t=4.282、4.091,P<0.05)。结论给予良性前列腺增生患者经尿道双极等离子电切术治疗,能够缩短手术时间、减少术中出血量,减少术后并发症,促进患者前列腺功能的恢复,值得推广使用。Objective To study the clinical curative effect of transurethral resection of prostate and transurethral bipolar plasmakinetic resection in treatment of benign prostatic hyperplasia and safety. Methods 52 cases of patients with benign prostatic hyperplasia treated in our hospital from January 2010 to May 2018 were selected and divided into two groups with 26 cases in each according to different treatment methods, the control group were treated with transurethral resection of prostate, while the research group were treated with transurethral bipolar plasmakinetic resection, and the operative indicators, occurrence of postoperative complications and postoperative urethral function were compared between the two groups. Results The operation time and intraoperative bleeding amount in the research group were respectively (64.33±13.68)min,(223.57±55.31)mL, which were obviously lower than those in the control group,the different was statistically significant(t=4.297, 6.836,P< 0.05); and the incidence rate of postoperative complications in the research group was obviously lower than that in the control group (3.85%vs 19.23%,(χ^2=5.893, P<0.05);and the prostatism score and Qmax in the research group were respectively (7.11±0.33)points,(15.03±0.81)mL/s, which were obviously better than those in the control group,the different was statistically significant(t=4.282, 4.091,P<0.05). Conclusion The transurethral bipolar plasmakinetic resection in treatment of benign prostatic hyperplasia can shorten the operation time, reduce the intraoperative bleeding amount, reduce the postoperative complications and promote the recovery of prostatic function, and it is worth promotion and application.

关 键 词：经尿道前列腺电切术 经尿道双极等离子电切术 良性前列腺增生 临床效果 安全性 分析 

分 类 号：R699[医药卫生—泌尿科学]