传统经尿道前列腺电切术与经尿道等离子前列腺电切术在治疗良性前列腺增生的临床疗效分析  

Comparison of traditional transurethral resection of the prostate and transurethral plasmakinetic resection of the prostate in the treatment of benign prostatic hyperplasia

作　　者：陈雨新[1] 施继鼎[1] 陈振声[1] CHEN Yuxin;SHI Jiding;CHEN Zhensheng(Department of Urology,Fuding Hospital,Fujian Province,Fujian,Fuding 355200,China)

机构地区：[1]福建省福鼎市医院泌尿外科,福建福鼎355200

出　　处：《中国医药科学》2020年第20期210-213,共4页China Medicine And Pharmacy

摘　　要：目的观察分析经尿道等离子前列腺电切术治疗良性前列腺增生临床疗效。方法选取我院2015年1月~2019年12月收治的良性前列腺增生患者320例,按照手术方式不同分为传统组(109例)和试验组(211例),传统组患者采用传统的经尿道前列腺电切术(TURP),试验组采用经尿道等离子前列腺电切术,比较观察两组患者的手术时间、术中出血量、住院时间等手术指标,评估两种手术方式的临床疗效。结果试验组的手术时间、术中出血量、术后留置导尿管时间以及住院时间均小于传统组,差异有统计学意义(P<0.05)。传统组中膀胱痉挛2例、继发性出血4例、经尿道电切综合征2例、尿潴留3例,总计11例出现术后并发症,术后并发症总发生率为10.1%;试验组中膀胱痉挛2例、继发性出血2例、经尿道电切综合征1例、尿潴留1例,总计6例出现术后并发症,术后并发症总发生率为2.8%;试验组的术后并发症总发生率(2.8%)明显低于传统组(10.1%),差异有统计学意义(P<0.05)。结论与传统手术比较,针对前列腺增生患者采用经尿道等离子前列腺电切术能够有效减少术中出血量,创伤小,缩短手术时间、留置导尿管时间、住院时间,患者术后恢复快,术后并发症少,该手术方式值得在临床上广泛推广使用。Objective To observe and analyze the clinical efficacy of transurethral plasmakinetic resection of the prostate(TUPKRP)in the treatment of benign prostatic hyperplasia(BPH).Methods A total of 320 patients with BPH admitted to and treated in our hospital from January 2015 to December 2019 were selected and divided into the traditional group(n=109)and the experimental group(n=211)according to different operation modes.The patients of the traditional group were treated with traditional transurethral resection of the prostate(TURP),while the experimental group was treated with TUPKRP.The operation indices such as operation duration,intraoperative blood loss and hospitalization time of the two groups of patients were compared and observed,and the clinical efficacy of the two operation modes was assessed.Results The operation duration,intraoperative blood loss,postoperative detaining time of urinary catheter and hospitalization time of the experimental group were all less than those of the traditional group,with statistically significant differences(P<0.05).In the traditional group,there were 2 cases of bladder spasm,4 cases of secondary hemorrhage,2 cases of transurethral resection syndrome(TURS)and 3 cases of urinary retention,totaling 11 cases of postoperative complications,with the incidence of postoperative complications being 10.1%.In the experimental group,there were 2 cases of bladder spasm,2 cases of secondary hemorrhage,1 case of TURS and 1 case of urinary retention,totaling 6 cases of postoperative complications,with the incidence of postoperative complications being2.8%.It can be seen that the total incidence of postoperative complications in the experimental group(2.8%)was obviously lower than that in the traditional group(10.1%),and the difference was statistically significant(P<0.05).Conclusion Compared with traditional operation,TUPKRP for the patients with prostatic hyperplasia can effectively reduce intraoperative blood loss,lessen trauma,and shorten operation duration,detaining time of urinary cathet

关 键 词：经尿道等离子前列腺电切术 传统经尿道前列腺电切术 良性前列腺增生 泌尿系统 

分 类 号：R699.8[医药卫生—泌尿科学]