等离子前列腺剜除术在大体积前列腺患者临床应用效果及并发症探讨  

Clinical Application effect and Complications of Plasma Enucleation of Prostate in Patients with Large-volume Prostate

作　　者：李相银[1] 李平均[1] LI Xiangyin;LI Pingjun(Emergency Surgery,New District Hospital,Linyi People's Hospital,Linyi,Shandong Province,276001 China)

机构地区：[1]临沂市人民医院新区医院急诊外科,山东临沂276001

出　　处：《中外医疗》2021年第9期64-66,共3页China & Foreign Medical Treatment

摘　　要：目的分析等离子前列腺剜除术在大体积前列腺患者临床应用效果及并发症观察。方法方便选择2018年6月—2019年6月该院收治90例大体积前列腺患者,按随机数表分为两组,对照组45例使用前列腺电切术,研究组45例使用等离子前列腺剜除术,对两组应用效果及并发症进行比较。结果研究组手术时间多于对照组,导尿管留置时间与住院时间短于对照组,差异有统计学意义(t=8.813、26.509、12.328,P<0.05);研究组术后1年残余尿(3.43±1.24)mL与最大尿流率(28.83±1.72)mL/s优于对照组,差异有统计学意义(t=3.152、5.709,P<0.05);研究组暂时性尿失禁、急迫性尿失禁、包膜穿孔、泌尿系感染及膀胱痉挛等并发症发生率6.67%低于对照组22.22%,差异有统计学意义(χ^(2)=4.406,P<0.05);研究组社会功能、身体功能、角色功能、认知功能评分高于对照组,差异有统计学意义(t=10.220、15.974、9.627、13.360,P<0.05)。结论离子前列腺剜除术治疗大体积前列腺患者,可促使术后康复,减短导尿管留置时间及住院时间,改善远期的残余尿与最大尿流率,减少术后并发症,有效提升其生活质量。Objective To analyze the clinical application effect and complications of plasma prostate enucleation in patients with large-volume prostate.Methods From June 2018 to June 2019,90 patients with large-volume prostate were selected and divided into two groups according to the random number table.The control group with 45 cases of prostate resection,and the study group with 45 cases of plasma prostate enucleation,to compare the application effects and complications of the two groups.Results The operation time of the study group was longer than that of the control group,and the catheter indwelling time and hospital stay were shorter than those of the control group,and the difference was statistically significant(t=8.813,26.509,12.328,P<0.05);the study group had 1 year residual urine(3.43±1.24)mL after operation and the maximum urinary flow rate(28.83±1.72)mL/s was better than the control group,and the difference was statistically significant(t=3.152,5.709,P<0.05);the study group had temporary urinary incontinence,urge urinary incontinence,capsular perforation,urinary tract infection and bladder incidence of complications such as spasm was 6.67%,whichwas lower than that of the control group 22.22%,and the difference was statistically significant(χ^(2)=4.406,P<0.05);and the social function,physical function,role function,and cognitive function scores of the study group were higher than those of the control group,and the difference was statistically significant(t=10.220,15.974,9.627,13.360,P<0.05).Conclusion Ion prostatectomy for the treatment of large-volume prostate patients can promote postoperative recovery,shorten catheter indwelling time and hospital stay,improve long-term residual urine and maximum urine flow rate,reduce postoperative complications,and effectively improve the quality of life.

关 键 词：等离子前列腺剜除术 大体积前列腺 效果 临床疗效 并发症 

分 类 号：R699[医药卫生—泌尿科学]