摘要
目的探讨经尿道双极等离子电切术治疗良性前列腺增生的效果.方法选取2017年8月至2020年8月在江西省黎川县人民医院泌尿外科接受治疗的良性前列腺增生患者60例,根据随机数字表法分为对照组和观察组,每组30例,对照组采用经尿道前列腺电切术,观察组采用经尿道双极等离子电切术,比较两种不同治疗方法的临床应用效果.结果观察组患者手术时间、术后导尿管留置时间、膀胱冲洗时间、住院时间、术中出血量均较对照组减少,术后患者的疼痛度较对照组减轻,生活质量评分(quality of life,QOL)低于对照组,差异有统计学意义(P<0.05);治疗后观察组患者国际前列腺症状评分(international prostate symptom score,IP-SS)、最大尿流率(maximum urinary flow rate,Qmax)、前列腺特定抗原(prostate specific antigen,PSA)均得到显著改善,与对照组比较差异有统计学意义(P<0.05);观察组治疗有效率为96.67%,对照组治疗总有效率为80.00%,两组比较差异有统计学意义(P<0.05);观察组患者术后并发症发生率为6.67%(2/30),而对照组患者术后并发症发生率为26.67%(8/30),两组比较差异有统计学意义(P<0.05).结论对良性前列腺增生患者采用经尿道双极等离子电切术进行治疗,可取得较为理想的临床效果,能够有效减少手术创伤性,降低患者术后并发症发生概率,提高身体恢复速度.
Objective To observe the effect of transurethral bipolar plasma resection on the treatment of benign prostatic hyperplasia.Methods A total of 60 patients with benign prostatic hyperplasia treated in the Department of Urology of Lichuan County People's Hospital of Jiangxi Province between August 2017 and August 2020 were randomly selected for the study.The 60 patients were divided into control and observation groups according to the random number table method,with 30 cases in each group.The control group received transurethral resection of prostate,and the observation group received transurethral bipolar plasma resection.Clinical effects of the two different treatment methods were compared and evaluated in detail.Results The operation time,indwelling time of a postoperative urinary catheter,bladder flushing time,hospital stay,and intraoperative bleeding in the observation group were lower than those in the control group.Postoperative pain in the observation group was milder and the quality of life score was lower than in the control group.There was a significant difference between each index and the control group(P<0.05).After treatment,the international prostate symptom score,maximum urinary flow rate(Qmax),and prostate-specific antigen in the observation group were significantly improved compared to those in the control group(P<0.05).The effective rate in the observation group was 96.67%,while the total effective rate in the control group was 80.00%,which was significantly different(P<0.05).The incidence of postoperative complications was 6.67%(2/30)in the observation group and 26.67%(8/30)in the control group(P<0.05).Conclusion Transurethral bipolar plasma resection for patients with benign prostatic hyperplasia can effectively reduce surgical trauma,decrease the probability of postoperative complications,and improve recovery speed.
作者
李勇
Li Yong(Department of Urology,Lichuan County People's Hospital,Fuzhou,Jiangxi,344600,China)
出处
《泌尿外科杂志（电子版）》
2021年第3期101-104,共4页
Journal of Urology for Clinicians(Electronic Version)
关键词
经尿道双极等离子电切术
良性前列腺增生
临床疗效
Transurethral bipolar plasma resection
Benign prostatic hyperplasia
Clinical efficacy
