经尿道前列腺等离子电切与单极电切治疗高危前列腺增生患者疗效比较  

Comparison of Curative Effects Between Transurethral Plasma and Monopolar Resection in the Treatment of High-Risk Prostatic Hyperplasia

作　　者：雷国林 彭波[1] Lei Guolin;Peng Bo(Department of Urology,The People′s Hospital of Jianyang City,Jianyang,Sichuan 641400,China)

机构地区：[1]四川省简阳市人民医院泌尿外科,四川简阳641400

出　　处：《四川医学》2020年第8期794-796,共3页Sichuan Medical Journal

摘　　要：目的探究高危前列腺增生患者治疗中经尿道前列腺等离子电切与单极电切的治疗效果。方法纳入本研究的患者共计100例,入我院治疗时间为2018年8月至2019年8月,将其随机分两组,对照组实施经尿道前列腺单极电切治疗,研究组实施经尿道前列腺等离子电切治疗,对比两组患者手术操作指标、手术前后前列腺症状、生活质量以及手术后并发症发生情况。结果两组患者手术操作时间以及术中出血量对比,研究组均较少于对照组(P<0.05),膀胱冲洗时间、留置尿管时间、术后住院时间比较,差异无统计学意义(P>0.05);手术后国际前列腺症状(IPSS)评分、生活质量(QOL)评分比较,研究组均较对照组低(P<0.05);两组患者手术后并发症,研究组较低(P<0.05)。结论高危前列腺增生患者治疗中经尿道前列腺等离子电切术的治疗效果好于单极电切术,能够有效降低手术对患者造成的创伤,能够促进患者手术后康复质量的提升,且能够降低术后并发症的发生。Objective To investigate the therapeutic effects of transurethral plasma and monopolar resection to treat high-risk prostatic hyperplasia.Methods From August 2018 to August 2019,100 patients were included in this study. They were randomly divided into two groupsthatcontrol group was treated with monopolar resection and research group was implemented by transurethral plasma resection. The operative indexes,prostate symptoms before and after operation,life quality and complications were compared.Results The operation time and intraoperative blood loss ofstudy group were less than control group( P< 0.05).There was no significant difference in bladder irrigation time,indwelling catheter time and postoperative hospital stay( P> 0.05).Postoperative international prostate symptom( IPSS) score,quality of life( QOL) score of study group were lower than those of control group( P<0.05). Postoperative complications of were lower in study group( P<0.05). Conclusion Transurethral plasma resection to treat high-risk prostatic hyperplasia is better than unipolar resection,which could effectively reduce trauma caused by surgery,improve patients’ rehabilitation quality after surgery,and reduce occurrence of postoperative complications.

关 键 词：高危前列腺增生 等离子电切 单极电切 

分 类 号：R6973.32[医药卫生—泌尿科学]