大体积前列腺治疗中等离子前列腺剜除术的疗效分析  

Effect of plasma enucleation of prostate in treatment of large volume prostate

作　　者：蔡奕川[1] 黄耀林 洪英洽 CAI Yichuan;HUANG Yaolin;HONG Yingqia(Department of Urology,Chaozhou Central Hospital,Chaozhou,Guangdong 521000,China)

机构地区：[1]潮州市中心医院泌尿外科,广东潮州521000

出　　处：《中国医学工程》2022年第9期88-91,共4页China Medical Engineering

摘　　要：目的研究大体积前列腺治疗中等离子前列腺剜除术的疗效。方法选取2019年6月至2021年6月潮州市中心医院收治的76例大体积前列腺增生患者为研究对象,随机分为研究组与对照组,每组各38例。研究组行等离子前列腺剜除术治疗,对照组行等离子前列腺电切术治疗;比较两组手术前后最大尿流率(Q_(max))、残余尿量(RUV)、国际前列腺症状评分(IPSS)、生活质量评分(SF-36)与手术指标、并发症发生率。结果术后,研究组较对照组Q_(max)、SF-36评分、前列腺切除重量更高,RUV、IPSS评分与术中出血量、并发症发生率更低,手术时间更短(P<0.05)。结论等离子前列腺剜除术治疗大体积前列腺的疗效显著,可减轻患者下尿路症状,且创伤小、并发症少。【Objective】To study the effect of plasma enucleation of prostate in the treatment of large volume prostate.【Methods】Seventy-six patients with massive benign prostatic hyperplasia admitted from June 2019 to June 2021 were randomly divided into study group(38 cases)and control group(38 cases).The study group was treated with plasma enucleation of prostate,and the control group was treated with plasma electroresection of prostate.The maximum urinary flow rate(Q_(max)),residual urine volume(RUV),International Prostate Symptom Score(IPSS),quality of life score(SF-36),surgical indexes and the incidence of complications were compared between the two groups.【Results】After operation,compared with the control group,the study group had higher Q_(max),SF-36 score,prostatectomy weight,lower RUV,IPSS score,intraoperative bleeding and complication rate,and shorter operation time(P<0.05).【Conclusion】Plasma enucleation of prostate is effective in the treatment of large volume prostate.It can reduce the symptoms of lower urinary tract,with less trauma and fewer complications.

关 键 词：大体积 等离子前列腺剜除术 等离子前列腺电切术 前列腺增生 残余尿量 

分 类 号：R699.8[医药卫生—泌尿科学]