普通电切镜和等离子电切镜在前列腺增生手术治疗中的应用研究  

Application Study of Ordinary Electrocautery and Plasma Electrocautery in the Surgical Treatment of Benign Prostatic Hyperplasia

作　　者：张佳丽 吕纬苓 ZHANG Jia-li;LV Wei-ling(Fujian University of Traditional Chinese Medicine Affiliated People’s Hospital,Fujian Fuzhou 350004;Clinical Medicine at the School of Integrated Chinese and Western Medicine,Fujian University of Traditional Chinese Medicine,Fujian Fuzhou 350108)

机构地区：[1]福建中医药大学附属人民医院,福建福州350004 [2]福建中医药大学中西医结合学院,福建福州350108

出　　处：《中国医疗器械信息》2024年第18期95-97,共3页China Medical Device Information

摘　　要：目的:分析对于前列腺增生手术治疗的患者,使用普通电切镜和等离子电切镜的临床效果。方法:选取2022年1月~2023年12月收治的78例前列腺增生患者作为研究对象,按照手术使用电切镜的不同进行分组,对照组(n=39)使用普通电切镜,试验组(n=39)使用等离子电切镜,对比两组患者的手术指标、尿动力学指标、炎症因子水平、并发症发生率。结果:试验组患者手术、住院、尿管留置时间均短于对照组(P<0.05),手术出血量少于对照组(P<0.05);手术后,试验组患者PVR低于对照组(P<0.05),BCQmax高于对照组(P<0.05);IL-6、IL-2、TNF-α水平低于对照组(P<0.05);试验组术后并发症发生率(2.56%)低于对照组(20.51%),差异显著(P<0.05)。结论:对于前列腺增生手术治疗的患者,使用等离子电切镜,临床效果佳,有利于患者术后的康复,更好地控制术后炎症反应的程度。Objective:To analyze the clinical effects of using conventional electrocautery and plasma electrocautery for the surgical treatment of prostate hyperplasia in patients.Methods:78 patients with benign prostatic hyperplasia admitted from January 2022 to December 2023 were selected as the study subjects.They were divided into two groups according to the different surgical use of electrocautery.The control group(n=39)used conventional electrocautery,while the experimental group(n=39)used plasma electrocautery.The surgical indicators,urodynamic indicators,inflammatory factor levels,and incidence of complications were compared between the two groups.Results:The surgery,hospitalization,and indwelling time of the experimental group patients were shorter than those of the control group(P<0.05),and the surgical bleeding was less than that of the control group(P<0.05);After surgery,the PVR of the experimental group patients was lower than that of the control group(P<0.05),and the BCQmax was higher than that of the control group(P<0.05);IL-6,IL-2,TNF-αthe level was lower than that of the control group(P<0.05);The incidence of postoperative complications in the experimental group(2.56%)was lower than that in the control group(20.51%)(P<0.05).Conclusion:For patients undergoing surgical treatment for benign prostatic hyperplasia,the use of plasma resection endoscopy has a better clinical effect,is beneficial for postoperative recovery,and better controls the degree of postoperative inflammatory response.

关 键 词：普通电切镜 等离子电切镜 前列腺增生 手术指标 尿动力学指标 炎症因子 

分 类 号：R699[医药卫生—泌尿科学]