双极等离子改良电切术治疗前列腺中叶增生的效果  

Effect of Bipolar Plasma Modified Electrotomy on the Middle Lobe Hyperplasia of Prostate

作　　者：陈仕杰 赵振华 赵国平 CHEN Shi-jie;ZHAO Zhen-hua;ZHAO Guo-ping(Department of Urology,Jiangmen People's Hospital,Jiangmen 529000,Guangdong,China)

机构地区：[1]广东省江门市人民医院泌尿外科,广东江门529000

出　　处：《医学信息》2020年第23期104-105,共2页Journal of Medical Information

基　　金：江门市科技计划项目(编号:201902020019002647)。

摘　　要：目的探讨双极等离子改良电切术治疗中叶增生型前列腺增生的临床疗效及其安全性。方法选择我院2016年1月~2019年12月收治的120例前列腺中叶增生型患者作为研究对象,随机分成对照组和观察组,每组60例,对照组采双极等离子传统电切术手术治疗,观察组采用双极等离子改良电切术手术治疗。比较两组手术时间、术中出血量及并发症发生情况,记录两组手术前后每天排尿次数、每次排尿量、最大尿流率(Qmax)、国际前列腺症状(IPSS)评分及生活质量(Qol)评分。结果治疗后,两组每天排尿次数、每次排尿量、Qmax、IPSS评分及Qol评分均较治疗前改善,但两组比较,差异无统计学意义(P>0.05);观察组手术时间、术中出血量少于对照组,差异有统计学意义(P<0.05);治疗期间两组均未出现并发症。结论与传统双极等离子电切术相比,双极等离子改良电切术治疗前列腺中叶增生效果良好,能缩短手术时间,减少术中出血,安全可靠。Objective To investigate the clinical effect and safety of bipolar plasma modified electrotomy in the treatment of middle lobe hyperplasia of prostate.Methods 120 patients with middle-grade prostatic hyperplasia in our hospital from January 2016-December 2019 were selected as the subjects,Randomly divided into control and observation groups,60 cases per group,The control group was operated on by bipolar plasma electroresection,The observation group was treated by bipolar plasma modified electric resection.To compare the time of operation,blood loss and complications between the two groups,The daily urination times,urine volume,maximum urine flow rate(Qmax),international prostate symptom(IPSS)score and quality of life(Qol)score were recorded before and after operation in the two groups.Results After treatment,the number of urination per day,the volume of urination per time,Qmax,IPSS score and Qol score of the two groups were improved compared with before treatment,but the difference between the two groups was not statistically significant(P>0.05);the operation time and intraoperative blood of the observation group were less than that of the control In the group,the difference was statistically significant(P<0.05);No complications occurred in both groups during the treatment.Conclusion Compared with traditional bipolar plasma resection,bipolar plasma modified resection has good effect in the treatment of middle lobe hyperplasia of prostate,which can shorten the operation time,reduce intraoperative bleeding,and is safe and reliable.

关 键 词：前列腺增生 经尿道前列腺电切术 双极等离子电切术 

分 类 号：R699.8[医药卫生—泌尿科学]