经尿道等离子前列腺解剖性剜除术治疗良性前列腺增生的临床疗效观察  

Clinical observation of transurethral plasma anatomical prostatectomy for benign prostatic hyperplasia

作　　者：高加胜[1] 李成文[1] 叶韬[1] 张海峰 李志坚[1] GAO Jiasheng;LI Chengwen;YE Tao;ZHANG Haifeng;LI Zhijian(The First People′s Hospital of Jiujiang City,Jiujiang 332000,China)

机构地区：[1]九江市第一人民医院,江西九江332000

出　　处：《临床医药实践》2020年第12期890-893,共4页Proceeding of Clinical Medicine

基　　金：江西省卫生健康委科技计划项目(项目编号:20204212)。

摘　　要：目的:观察经尿道等离子前列腺解剖性剜除术治疗良性前列腺增生(BPH)的临床疗效。方法:回顾性分析2017年8月-2019年7月治疗的83例BPH患者的临床资料,按手术方法的不同分为观察组(43例)和对照组(40例)。观察组接受经尿道等离子前列腺解剖性剜除术(TUAEP)治疗,对照组接受经尿道前列腺电切术(TURP)治疗。比较两组围术期指标、国际前列腺症状评分(IPSS)、最大尿流率(Qmax)及并发症。结果:观察组术中出血量、并发症发生率低于对照组,住院时间短于对照组,前列腺切除质量大于对照组,差异均有统计学意义(P<0.05);两组术前IPSS评分、Qmax水平对比,差异无统计学意义(P>0.05);术后两组IPSS评分均低于术前,Qmax水平均高于术前,差异有统计学意义(P<0.05);观察组术后Qmax水平高于对照组,差异有统计学意义(P<0.05);两组术后IPSS评分对比,差异无统计学意义(P>0.05);手术后两组手术时间比较,差异无统计学意义(P>0.05)。结论:TUAEP治疗BPH术中出血量少,前列腺组织切除彻底,并发症少,利于改善Qmax,加快患者康复。Objective:To observe the clinical efficacy of transurethral plasma anatomic enucleation of prostate for the treatment of benign prostatic hyperplasia(BPH).Methods:The clinical data of 83 patients with BPH treated in our hospital from August 2017 to July 2019 were retrospectively analyzed.They were divided into two groups according to different surgical methods.They will undergo transurethral plasma prostatectomy(TUAEP).Forty-three patients treated were included in the observation group,and 40 patients who received transurethral resection of the prostate(TURP)constituted the control group.The perioperative indicators,international prostate symptom score(IPSS),maximum urine flow rate(Qmax),and complications were compared between the two groups.Results:The intraoperative blood loss and complication rate of the observation group were lower than those of the control group,the hospital stay was shorter than that of the control group,and the quality of prostatectomy was greater than that of the control group.The differences were statistically significant(P<0.05).There was no statistically significant difference in IPSS scores and Qmax levels between the two groups before surgery(P>0.05).The IPSS scores of the two groups after surgery were lower than those before surgery,and Qmax levels were higher than before surgery,and the difference was statistically significant(P<0.05).The postoperative Qmax level of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The postoperative IPSS scores of the two groups were compared,and the difference was not statistically significant(P>0.05).The difference was not statistically significant in operation time of the two groups after surgery(P>0.05).Conclusion:TUAEP has low blood loss,complete resection of prostate tissue,and few complications during BPH surgery.It is beneficial to improve Qmax and speed up recovery.

关 键 词：良性前列腺增生 经尿道等离子前列腺解剖性剜除术 最大尿流率 并发症 

分 类 号：R697.3[医药卫生—泌尿科学]