经尿道等离子汽化电切术治疗高龄患者前列腺增生的效果评价

Clinical efficacy analysis of plasmakinetic energy transurethral resection in the treatment of elderly patients with benign prostatic hyperplasia

目的探讨经尿道等离子汽化电切术治疗高龄患者前列腺增生的临床效果。方法选取本院2012年1月~2014年5月收治的182例高龄前列腺增生患者,按照随机数字表法均分为对照组和观察组,对照组采用经尿道前列腺电切术,观察组采用经尿道等离子汽化电切术,比较两组患者的手术时间、术中出血量、术后膀胱冲洗时间和治疗前后国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（MFR）和剩余尿（PVR）的差异。结果观察组手术时间、术后膀胱冲洗时间短于对照组,术中出血血量显著少于对照组,差异有统计学意义（P〈0.05）;治疗后两组患者的IPSS、QOL、MFR和PVR均较治疗前显著改善（P〈0.05）,但两组间差异无统计学意义（P〉0.05）。结论经尿道等离子汽化电切术治疗高龄患者前列腺增生效果确切,手术时间短,出血少。

Objective To investigate the clinical efficacy of plasmakinetic energy transurethral resection in the treatment of elderly patients with benign prostatic hyperplasia. Methods 182 cases of elderly patients with benign prostatic hyperplasia in our hospital from January 2012 to May 2014 were selected,and were randomly divided into control group and observation group.The control group were treated with transurethral resection of prostate,the observation group were treated with plasmakinetic energy transurethral resection.The operative time,intraoperative blood loss,postoperative bladder irrigation time,International prostate symptom score（IPSS）,quality of life score（QOL）,maximum flow rate（MFR） and residual urine（PVR） before and after treatment of two groups was compared. Results The operative time and postoperative bladder irrigation time of observation group was shorter than that of control group,intraoperative blood loss was less than that of control group,the difference was significant（P〈0.05）.After treatment,IPSS,QOL,MFR and PVR of two groups was improved compared with that before treatment（P〈0.05）,but there was no significant difference between the two groups（P〉0.05）. Conclusion Plasmakinetic energy transurethral resection for elderly patients with benign prostatic hyperplasia has exact effect,with shorter operative time and less bleeding.