经尿道前列腺等离子双极电切术与经尿道前列腺电切术治疗良性前列腺增生患者的效果比较  

Comparison of effects of transurethral bipolar plasma kinetic prostatectomy and transurethral resection of prostate in treatment of patients with benign prostatic hyperplasia

作　　者：殷文峰 YIN Wenfeng(Department of Urology of Zhenping County People’s Hospital,Nanyang 474250 Henan,China)

机构地区：[1]镇平县人民医院泌尿外科,河南南阳474250

出　　处：《中国民康医学》2024年第23期142-145,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较经尿道前列腺等离子双极电切术(TUPKP)与经尿道前列腺电切术(TURP)治疗良性前列腺增生患者的效果。方法:选取2021年10月至2022年10月该院收治的87例前列腺增生患者进行前瞻性研究,按照随机数字表法将其分为研究组(n=44)和对照组(n=43)。对照组采用TURP治疗,研究组采用TUPKP治疗,比较两组围术期指标(术中出血量、术后膀胱冲洗时间、导尿管留置时间)水平,手术前后症状严重程度[国际前列腺症状评分(IPSS)、国际勃起功能指数(IIEF-5)]评分、尿流动力学指标[最大尿流率(Q_(max))、平均尿流率(AFR)、膀胱残余尿量(PVR)]水平,以及术后2周并发症发生率。结果:研究组术中出血量少于对照组,术后膀胱冲洗时间、导尿管留置时间均短于对照组,差异有统计学意义(P<0.05);术后2个月,研究组IPSS评分低于对照组,IIEF-5评分高于对照组,差异均有统计学意义(P<0.05);术后3个月,研究组Q_(max)、AFR均高于对照组,PVR少于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为9.09%(4/44),低于对照组的27.91%(12/43),差异有统计学意义(P<0.05)。结论:TUPKP治疗前列腺增生患者可降低围术期指标水平和并发症发生率,改善症状严重程度评分和尿流动力学指标水平,效果优于TURP治疗。Objective:To compare effects of transurethral bipolar plasma kinetic prostatectomy(TUPKP)and transurethral resection of prostate(TURP)in treatment of patients with benign prostatic hyperplasia.Methods:A prospective study was conducted on 87 patients with benign prostatic hyperplasia admitted to the hospital from October 2021 to October 2022.According to the random number table method,they were divided into study group(n=44)and control group(n=43).The control group was treated with TURP,while the study group was treated with TUPKP.The levels of perioperative indexes(intraoperative blood loss,postoperative bladder irrigation time,catheter indwelling time),the severity of symptom scores[international prostate symptom score(IPSS),international index of erectile function(IIEF-5)],the levels of urodynamic indexes[maximum urinary flow rate(Qmax),average urinary flow rate(AFR),post-void residual urine(PVR)]before and after the surgery,and the incidence of complications 2 weeks after the surgery were compared between the two groups.Results:The intraoperative blood loss in the study group was less than that in the control group,the postoperative bladder irrigation time and the catheter indwelling time were shorter than those in the control group,and the differences were statistically significant(P<0.05).Two months after the surgery,the IPSS score of the study group was lower than that of the control group,the IIEF-5 score was higher than that of the control group,and the differences were statistically significant(P<0.05).Three months after the surgery,the levels of Qmax and AFR in the study group were higher than those in the control group,the PVR was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 9.09%(4/44),which was lower than 27.91%(12/43)in the control group,and the difference was statistically significant(P<0.05).Conclusions:TUPKP in the treatment of the patients with benign prostatic hyperplasia can reduce

关 键 词：经尿道前列腺等离子双极电切术 经尿道前列腺电切术 前列腺增生 尿流动力学 并发症 

分 类 号：R699.8[医药卫生—泌尿科学]