前列腺等离子剜除术治疗大体积前列腺增生患者的效果及对其生活质量的影响

The Effect of Plasma Enucleation of Prostate in the Treatment of Massive Benign Prostatic Hyperplasia and its Influence on the Quality of Life

目的探讨前列腺等离子剜除术治疗大体积前列腺增生患者的效果及对其生活质量的影响。方法将2019年1月-2020年7月间120例我院收治的大体积前列腺增生患者按照随机数字表法分为两组,对照组60例予以前列腺等离子电切术治疗,研究组60例予以前列腺等离子剜除术治疗。比较手术相关指标、尿动力学指标、国际前列腺症状(IPSS)量表评分、简明健康状况量表(SF-36)评分、性功能指标及手术并发症。结果研究组手术时间、导尿管留置时间、住院时间均短于对照组,血红蛋白丢失量小于对照组,腺体切除质量大于对照组(P<0.05)。干预后两组PVR、IPSS评分均低于干预前,且研究组低于对照组,Qmax、SF-36评分均高于干预前,且研究组高于对照组(P<0.05)。干预后对照组勃起功能障碍、逆行射精发生率均高于干预前,且研究组低于对照组(P<0.05),干预前后研究组勃起功能障碍、逆行射精发生率比较无统计学意义(P>0.05)。研究组手术并发症发生率(3.33%)低于对照组(18.33%)(P<0.05)。结论前列腺等离子剜除术治疗大体积前列腺增生患者可改善患者尿动力学及性功能,对患者损伤小,术后恢复快,患者具有较高的生活质量。

Objective To investigate the effect of plasma enucleation of prostate in the treatment of massive benign prostatic hyperplasia(BPH)and its influence on the quality of life.Methods From January 2019 to July 2020,120 patients with massive benign prostatic hyperplasia in our hospital were randomly divided into two groups,60 cases in the control group were treated with plasmakinetic resection of prostate,and 60 cases in the study group were treated with plasmakinetic enucleation of prostate.The operation related indexes,urodynamic indexes,IPSS score,SF-36 score,sexual function indexes and operation complications were compared.Results The operation time,catheter indwelling time and hospital stay of the study group were shorter than those of the control group,the hemoglobin loss was less than that of the control group,and the quality of gland resection was higher than that of the control group(P<0.05).After the intervention,the PVR and IPSS scores of the two groups were lower than before the intervention,and the research group was lower than the control group,Qmax and SF-36 scores were higher than before the intervention,and the research group was higher than the control group(P<0.05).After the intervention,the incidence of erectile dysfunction and retrograde ejaculation in the control group was higher than that before the intervention,and the incidence of erectile dysfunction and retrograde ejaculation in the study group was lower than that in the control group(P<0.05).There was no statistical significance in the incidence of erectile dysfunction and retrograde ejaculation in the study group before and after the intervention(P>0.05).The incidence of complications in the study group(3.33%)was lower than that in the control group(18.33%)(P<0.05).Conclusion Plasma enucleation of prostate in the treatment of massive benign prostatic hyperplasia can improve the urodynamics and sexual function of patients with less damage,faster postoperative recovery and higher quality of life.