经尿道等离子电切术治疗老年前列腺增生的临床作用分析  

Analysis of clinical effect of transurethral plasmakinetic resection of prostate in the treatment of senile prostatic hyperplasia

作　　者：邝祥醒 KUANG Xiang-xing(Department of Urology,Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Guangzhou 510800,China)

机构地区：[1]广州市中西医结合医院泌尿外科,510800

出　　处：《中国实用医药》2025年第3期48-51,共4页China Practical Medicine

摘　　要：目的分析老年前列腺增生应用经尿道等离子电切术治疗的临床效果。方法80例老年前列腺增生患者,按照随机数字法分为对照组与观察组,每组40例。对照组给予前列腺汽化电切术治疗,观察组给予经尿道等离子电切术治疗。比较两组临床疗效、并发症发生率、临床指标及国际前列腺症状评分表(IPSS)评分。结果观察组的总有效率(95.00%)与对照组(75.00%)相比较高,组间比较有统计学意义(P<0.05)。观察组的手术时间(80.46±5.29)min、住院时间(5.72±1.03)d与对照组的(98.61±10.53)min、(8.65±2.14)d相比较短,术中出血量(42.03±5.02)ml与对照组的(79.58±6.85)ml相比较少,前列腺电切综合征发生率5.00%与对照组的20.00%相比较低,组间比较有统计学意义(P<0.05)。术前,两组的IPSS评分比较无差异(P>0.05);术后,两组的IPSS评分均较术前显著降低,且观察组的IPSS评分(7.15±1.08)分低于对照组的(15.92±2.57)分,组间比较有统计学意义(P<0.05)。观察组的术后并发症发生率为2.50%(1/40),低于对照组的17.50%(7/40),组间比较有统计学意义(χ^(2)=5.000,P=0.025<0.05)。结论老年前列腺增生患者实施经尿道等离子电切术治疗具有显著的临床价值。Objective To analyze the clinical effect of transurethral plasmakinetic resection of prostate in the treatment of senile prostatic hyperplasia.Methods 80 elderly patients with prostatic hyperplasia were divided into a control group and an observation group according to random number method,each consisting of 40 cases.The control group was treated with transurethral vaporization of prostate,and the observation group was treated with transurethral plasmakinetic resection of prostate.The clinical efficacy,complication rate,clinical indicators and International Prostate Symptom Scale(IPSS)score were compared between the two groups.Results The total effective rate of the observation group(95.00%)was higher than that of the control group(75.00%),and the comparison between groups was statistically significant(P<0.05).The operation time and length of hospital stay in the observation group were(80.46±5.29)min and(5.72±1.03)d,which were shorter than(98.61±10.53)min and(8.65±2.14)d in the control group;the observation group had less intraoperative blood loss of(42.03±5.02)ml than(79.58±6.85)ml in the control group;the observation group had lower incidence of electroprostatectomy syndrome of 5.00%than 20.00%in the control group;the comparison between groups was statistically significant(P<0.05).Before surgery,there was no difference in comparison of IPSS score between the two groups(P>0.05).After surgery,the IPSS score in both groups was lower than that before surgery,and the observation group had lower IPSS score of(7.15±1.08)points than(15.92±2.57)points in the control group.The comparison between groups was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 2.50%(1/40),which was lower than 17.50%(7/40)in the control group,and the comparison between groups was statistically significant(χ^(2)=5.000,P=0.025<0.05).Conclusion Transurethral plasmakinetic resection of prostate has significant clinical value in the treatment of senile patients with prostatic hyperp

关 键 词：老年前列腺增生 经尿道等离子电切术 前列腺汽化电切术 临床价值 

分 类 号：R699.8[医药卫生—泌尿科学]