经尿道前列腺等离子双极电切术治疗前列腺增生的临床疗效  

Clinical effect of plasmakinetic resection of the prostate in the treatment of hyperplasia prostate

作　　者：李雪飞 LI Xuefei(Department of Urology,Guixi people's Hospital,Yingtan,Jiangxi,335400,China)

机构地区：[1]贵溪市人民医院泌尿外科,江西鹰潭335400

出　　处：《当代医学》2022年第18期157-160,共4页Contemporary Medicine

摘　　要：目的 探究经尿道前列腺等离子双极电切术(PKRP)治疗前列腺增生(PH)的临床疗效。方法 选取2016年1月至2020年3月本院收治的80例PH患者作为研究对象,采用随机数字表法分为两组,各40例。对照组行经尿道前列腺切除术(TURP)治疗,观察组采用PKRP治疗,比较两组临床指标、手术指标、并发症发生情况。结果 两组手术时间比较差异无统计学意义;观察组导管留置时间、住院时间、冲洗时间均短于对照组,术中出血量少于对照组(P<0.05)。两组术后国际前列腺症状评分(IPSS)低于术前,残余尿量(RUV)少于术前,最大尿流率(Qmax)均高于术前,且观察组IPSS评分低于对照组,RUV少于对照组,Qmax高于对照组(P<0.05)。观察组并发症发生率为5.00%,低于对照组的22.50%(P<0.05)。结论 PH患者采用PKRP治疗可有效改善患者临床症状,术中止血效果好,利于患者术后恢复,且安全性较高,值得临床推广运用。Objective To explore the clinical efficacy of plasmakinetic resection of the prostate(PKRP) in the treatment of hyperplasia prostate(PH).Methods 80 patients with PH who were admitted to our hospital from January 2016 to March 2020 were selected as the research subjects,and they were divided into two groups according to random number table method,with 40 cases in each group.The control group was treated with transurethral resection of prostate(TURP),and the observation group was treated with PKRP,the clinical indicators,surgical indicators,and complications were compared between the two groups.Results There was no significant difference in the operation time between the two groups;the catheter indwelling time,hospitalization time and flushing time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group(P<0.05).The international prostate symptom score(IPSS) in the two groups was lower than that before surgery,and the residual urine volume(RUV) was lower than that before surgery,and the maximum flow rate(Qmax) was higher than that before surgery,and the IPSS score of the observation group was lower than that of the control group,the RUV was lower than that of the control group,and the Qmax was higher than that of the control group(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than 22.50% in the control group(P<0.05).Conclusion PKRP treatment in PH patients can effectively improve the clinical symptoms of patients,the intraoperative hemostasis effect is good,and it is beneficial to the postoperative recovery of patients.

关 键 词：前列腺增生 经尿道前列腺等离子双极电切术 经尿道前列腺切除术 

分 类 号：R699.8[医药卫生—泌尿科学]