改良法经尿道前列腺等离子电切术在高危前列腺增生症治疗中的应用

Modified transurethral plasma resection of prostate in the treatment of high risk prostatic hyperplasia

目的研究改良法经尿道前列腺等离子电切术在高危前列腺增生症治疗中的应用效果。方法选取丰县人民医院2019年6月—2020年7月收治的80例高危前列腺增生症患者,随机分为对照组和观察组,每组40例。对对照组的40例患者给予传统的经尿道前列腺等离子电切术进行治疗,而对观察组的40例患者使用改良法经尿道前列腺等离子电切术治疗。统计分析两组患者的手术指标、Q-MAX、IPSS评分、PVR、QOL评分、术后并发症发生情况、满意度。结果观察组患者的手术时间、住院时间显著短于对照组,组间差异均具有统计学意义(P<0.05),观察组术中出血量、输血量均显著少于对照组,组间差异均具有统计学意义(P<0.05)。观察组患者手术后较手术前的QMAX、QOL评分升高幅度、IPSS评分、PVR降低幅度均显著高于对照组(P<0.05)。在术后并发症发生率方面,观察组为2.50%(1/40),对照组为22.50%(9/40),差异具有统计学意义(P<0.05)。在满意度方面,观察组为92.50%(37/40),对照组为75.00%(30/40),差异具有统计学意义(P<0.05)。结论改良法经尿道前列腺等离子电切术在高危前列腺增生症治疗中的应用效果显著,因而值得在高危前列腺增生症患者的治疗中大力推广。

Objective:To study the application effect of modified transurethral plasma resection of prostate in the treatment of high-risk prostatic hyperplasia.Methods:A total of 80 high-risk patients with BPH admitted to our hospital from June 2019 to July 2020 were randomly divided into control group and observation group with 40 patients in each group.Forty patients in the control group were treated with conventional transurethral prostatic plasma electrotomy,while 40 patients in the observation group were treated with modified transurethral prostatic plasma electrotomy.Then statistical analysis was made on surgical indicators,Q-MAX,IPSS score,PVR,QOL score,postoperative complications and satisfaction of patients in the two groups.Results:The operation time and hospitalization time of patients in the observation group were significantly shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The amount of intraoperative bleeding and blood transfusion in the observation group were significantly less than those in the control group,and the differences between the groups were statistically significant(P<0.05).The increase of Q-MAX,QOL score,IPSS score and PVR in the observation group were significantly higher than those in the control group(P<0.05).The incidence of postoperative complications was 2.50%(1/40)in the observation group and 22.50%(9/40)in the control group,with the former significantly lower than the latter(P<0.05).In terms of satisfaction,the observation group was 92.50%(37/40)and the control group was 75.00%(30/40),the former was significantly higher than the latter(P<0.05).Conclusion:The modified transurethral plasma resection of prostate is very effective in the treatment of high risk prostatic hyperplasia,so it is worth promoting in the treatment of high risk prostatic hyperplasia patients.