双极等离子电切镜与单极电切镜治疗前列腺的对比  

Comparison of Bipolar Plasma Resection and Monopolar Resection for Prostate Treatment

作　　者：范宇进 FAN Yujin(Xingning People’s Hospital,Xingning 514500,China)

机构地区：[1]兴宁市人民医院,广东兴宁514500

出　　处：《中外医学研究》2020年第26期23-25,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：梅州市科技计划项目(2015B105)。

摘　　要：目的:对比双极等离子电切镜与单极电切镜治疗前列腺的临床效果。方法:选取本院2014年1月-2019年12月收治的前列腺增生患者60例,将患者随机分为两组,对照组以单极电切镜进行治疗,研究组以双极等离子电切镜进行治疗,对比两组手术时间、术中出血量、术后置管时间、术前及术后IPSS评分、术后生活质量评分(QOL)、术后并发症发生情况。结果:研究组手术时间、术后置管时间较对照组更短,数据对比差异有统计学意义(P<0.05);研究组术中出血量较对照组少,数据对比差异有统计学意义(P<0.05);术前IPSS评分,两组差异无统计学意义(P>0.05),术后两组患者IPSS评分皆降低,但研究组IPSS评分较对照组更低,数据对比差异有统计学意义(P<0.05);研究组术后生活质量评分低于对照组,数据对比差异有统计学意义(P<0.05);研究组术后并发症发生率13.33%,较对照组50.00%低,数据对比差异有统计学意义(χ^2=4.565,P<0.05)。结论:双极等离子电切镜与单极电切镜用于治疗前列腺增生,在临床疗效比较上,双极等离子电切镜疗效更高,患者术中出血量更少,手术时间及术后置管时间更短,前列腺症状评分及并发症发生率更低,生活质量更高,临床疗效显著,值得推广应用。Objective:To compare the clinical effect of bipolar plasma resection and unipolar resection in the treatment of prostate.Method:Sixty patients with benign prostatic hyperplasia who treated in our hospital from January 2014 to December 2019 were randomly divided into two groups.The control group was treated with monopolar resection and the study group was treated with bipolar plasma resection.The surgical time,intraoperative blood loss,postoperative catheterization time,preoperative and postoperative IPSS scores,postoperative quality of life score(QOL),and postoperative complications were compared between the two groups.Result:The operation time and postoperative catheterization time in the study group were shorter than those in the control group,and the data comparison was significantly different(P<0.05).The intraoperative blood loss in the study group was less than that in the control group,and the data comparison was significant(P<0.05).There was no significant difference between the two groups in the preoperative IPSS scores(P>0.05),and the IPSS scores of the two groups decreased after the operation,but the IPSS scores of the study group were lower than those of the control group,and the data comparison was significantly different(P<0.05).The postoperative quality of life score in the study group was lower than that in the control group,and the data comparison was significantly different(P<0.05).The postoperative complication rate in the study group was 13.33%,compared with 50.00%in the control group was lower,and the data contrast was significant(χ^2=4.565,P<0.05).Conclusion:Bipolar plasma resection and monopolar resection are used for the treatment of benign prostatic hyperplasia.In comparison of clinical efficacy,bipolar plasma resection is more effective,with less intraoperative blood loss,surgical time and postoperative placement.The tube time is shorter,the prostate symptom score and the incidence of complications are lower,the quality of life is higher,and the clinical effect is significant,which is wo

关 键 词：双极等离子电切镜 单极电切镜 前列腺增生 

分 类 号：R699.8[医药卫生—泌尿科学]