经尿道双极等离子前列腺剜除术与经尿道等离子前列腺切除术治疗前列腺增生症对比  

Comparison of Transurethral Bipolar Plasma Prostatectomy and Transurethral Plasma Prostatectomy for Benign Prostatic Hyperplasia

作　　者：彭英峰 PENG Yingfeng(Department of Urology,Tai'an Rongjun Hospital,Tai'an,Shandong Province,271000 China)

机构地区：[1]山东省泰安荣军医院泌尿外科,山东泰安271000

出　　处：《世界复合医学》2021年第8期83-86,共4页World Journal of Complex Medicine

摘　　要：目的探讨对前列腺增生症患者应用经尿道等离子前列腺切除术和经尿道双极等离子前列腺剜除术的效果。方法选择2019年1月—2020年12月收治的56例前列腺增生症患者,随机分为研究组实施经尿道双极等离子前列腺剜除术治疗,对照组实施经尿道等离子前列腺切除术治疗,每组28例。对比分析两组患者手术相关指标、国际前列腺评分(IPSS)、生活质量评分(QOL)、最大尿流率(QMAX)、残余尿量(PVR)及并发症发生情况。结果研究组的手术操作时间(32.12±1.69)min、住院时间(4.05±0.61)d、术中出血量(157.06±26.43)mL、尿管留置时间(3.01±0.47)d均优于对照组的手术操作时间(50.32±1.78)min、住院时间(6.31±0.89)d、术中出血量(260.01±38.72)mL、尿管留置时间(4.57±0.83)d,差异有统计学意义(P<0.05)。手术前和手术后两组患者IPSS评分、QOL评分、QMAX、PVR比较,差异无统计学意义(P>0.05)。但两组患者术后的IPSS评分、QOL评分、PVR均低于术前,差异有统计学意义(P<0.05),而QMAX均高于术前,差异有统计学意义(P<0.05)。研究组尿失禁1例、膀胱痉挛1例,并发症发生率7.14%,对照组尿失禁2例、膀胱痉挛1例,并发症发生率10.71%,两组比较差异无统计学意义(P>0.05);研究组和对照组患者的总治疗有效率分别为96.43%和71.43%,研究组明显优于对照组,差异有统计学意义(χ^(2)=4.766,P<0.05)。结论两种手术方式治疗前列腺增生症在临床上都有较高应用价值,均有较好的治疗效果,但经尿道双极等离子前列腺剜除术相较于经尿道等离子切除术的手术时间、住院时间以及留置尿管时间等各方面较有优势。Objective To investigate the effect of transurethral plasma prostatectomy and transurethral bipolar plasma prostatectomy for patients with benign prostatic hyperplasia.Methods 56 patients with benign prostatic hyperplasia admitted from January 2019 to December 2020 were selected and randomly divided into the study group for transurethral bipolar plasma prostatectomy,and the control group for transurethral plasma prostatectomy,28 patients each.The surgical-related indicators,International Prostate Score(IPSS),Quality of Life Score(QOL),Maximum Urine Flow Rate(QMAX),Residual Urine Volume(PVR),and the occurrence of complications between the two groups of patients were compared and analyzed.Results The operation time of the study group(32.12±1.69)min,hospitalization time(4.05±0.61)d,intraoperative blood loss(157.06±26.43)mL,and catheter indwelling time(3.01±0.47)d were better than those of the control group(50.32±1.78)min,hospitalization time(6.31±0.89),intraoperative blood loss(260.01±38.72)mL,catheter indwelling time(4.57±0.83)d,the difference was statistically significant(P<0.05).There was no significant difference in IPSS score,QOL score,QMAX,and PVR between the two groups before and after surgery(P>0.05).However,the postoperative IPSS score,QOL score,and PVR of the two groups were lower than those before the operation,the difference was statistically significant(P<0.05),while the QMAX was higher than that before the operation,the difference was statistically significant(P<0.05).In the study group,there was 1 case of urinary incontinence and 1 case of bladder spasm.The complication rate was 7.14%.In the control group,there were 2 cases of urinary incontinence and 1 case of bladder spasm.The complication rate was 10.71%.There was no significant difference between the two groups(P>0.05);The total effective rates of treatment for patients in the study group and control group were 96.43%and 71.43%,respectively.The study group was significantly better than the control group,the difference was statistically sig

关 键 词：经尿道双极等离子前列腺剜除术 经尿道等离子前列腺切除术 前列腺增生症 临床疗效 

分 类 号：R699[医药卫生—泌尿科学]