经尿道前列腺电切术与经尿道前列腺电汽化术治疗前列腺增生患者的效果比较  

Comparison of Clinical Efficacy of Transurethral Resection of Prostate and Transurethral Electrovaporization of Prostate for the Treatment of Patients with Benign Prostatic Hyperplasia

作　　者：倪亮亮 NI Liangliang(Department of Urology,Pizhou People's Hospital,Pizhou 221300,China)

机构地区：[1]邳州市人民医院泌尿外科,江苏邳州221300

出　　处：《中国医药指南》2020年第22期79-80,共2页Guide of China Medicine

摘　　要：目的比较经尿道前列腺电切术与经尿道前列腺电汽化术治疗前列腺增生患者的临床效果。方法回顾性分析2017年1月至2019年10月邳州市人民医院收治的96例前列腺增生患者的临床资料,根据手术方式的不同将其分为电切术组和电汽化术组,每组48例。电切术组手术方式为经尿道前列腺电切术,电汽化术组手术方式为经尿道前列腺电汽化术。比较两组术中出血量、住院时间、最大尿流率及平均尿流率,评估两组手术前后的国际前列腺症状评分(IPSS),并统计两组并发症发生情况。结果电汽化术组术中出血量少于电切术组,住院时间短于电切术组,差异有统计学意义(P<0.05);两组术后最大尿流率与平均尿流率均较术前改善,但两组术后比较差异无统计学意义(P>0.05);两组术后IPSS评分均较术前降低(P<0.05),但两组术后IPSS评分比较,差异无统计学意义(P>0.05)。电汽化术组并发症总发生率高于电切术组,差异有统计学意义(P<0.05)。结论经尿道前列腺电切术与经尿道前列腺电汽化术治疗前列腺增生患者均可获得较好的临床治疗效果,并改善患者的临床症状,但经尿道前列腺电汽化术术中出血量少、住院时间短,而经尿道前列腺电切术并发症发生率低,临床实际中应考虑多种因素选择适合的手术方式。Objective To compare the clinical efficacy of transurethral resection of the prostate and transurethral electrovaporization of the prostate in the treatment of patients with benign prostatic hyperplasia.Methods Through retrospective analysis,the clinical data of 96 patients with benign prostatic hyperplasia admitted to Pizhou People’s Hospital from January 2017 to October 2019 were analyzed.They were divided into electrosurgical group and electrovaporization group according to different surgical methods,48 cases per group.Transurethral resection of the prostate was performed in the electrosurgical group.Transurethral electrovaporization of the prostate was performed in the electrovaporization group.The intraoperative blood loss,hospital stay,maximum urinary flow rate and average urinary flow rate were compared between the two groups.The International Prostate Symptom Score(IPSS)before and after surgery was evaluated.The incidence of complications in both groups was counted.Results The intraoperative blood loss of the group B electrovaporization group was less than that of the electrosurgical group,and the hospital stay was shorter than that of the group A.Compared with the preoperative period,the maximum urinary flow rate and the average urinary flow rate of the two groups of patients improved after the operation.However,there was no significant difference in postoperative comparison between the two groups(P>0.05).The total incidence of complications of dysuria and urinary retention in the electrovaporization group of group B was higher than that of the electrosurgical group of group A(P<0.05).Conclusion Both transurethral resection of the prostate and transurethral electrovaporization of the prostate for the treatment of patients with benign prostatic hyperplasia can obtain a better clinical treatment effect and improve the clinical symptoms of the patients.However,the transurethral electrovaporization of the prostate has less bleeding and shorter hospital stay.The incidence of complications of transurethral r

关 键 词：前列腺增生 经尿道前列腺电切术 经尿道前列腺电汽化术 

分 类 号：R697.3[医药卫生—泌尿科学]