经尿道等离子双极前列腺切除术治疗大体积前列腺增生的临床效果

Clinical effect of transurethral bipolar plasma kinetic resection of prostate in the treatment of large volume benign prostate hyperplasia

目的：观察经尿道等离子双极前列腺切除术在大体积前列腺增生患者临床治疗中的应用效果。方法选择本院2013年5月-2014年5月收治的90例大体积前列腺增生患者作为研究对象，分为对照组与观察组，每组45例。对照组给予传统开放手术治疗，观察组给予经尿道等离子双极前列腺切除术治疗，对比观察两组患者的临床治疗效果。结果观察组术中出血量为（210.1±69.2） ml，明显少于对照组（P〈0.05）；观察组膀胱冲洗时间为（2.1±0.8）d，住院时间为（5.4±1.7）d，均明显短于对照组（P〈0.05）；观察组切除组织为（112.9±24.8）g，明显大于对照组（P〈0.05）；观察组手术时间为（105.3±32.5）min，明显长于对照组（P〈0.05）；观察组术后3个月与6个月IPSS分别为（16.4±0.7）、（13.1±0.4）分，与对照组相比，差异有统计学意义（P〈0.05），生活质量评分分别为（5.7±0.9）、（18.4±1.1）分，均明显高于对照组（P〈0.05）。结论在大体积前列腺增生患者的临床治疗中，应用经尿道等离子双极前列腺切除术，较传统开放性手术，微创优势明显，对患者创伤小，术中出血量少，术后恢复快，值得推广。

Objective To investigate the clinical application effects of plasma kinetic resection of the prostate in the treatment of patients with large volume benign prostate hyperplasia. Methods 90 patients with large volume benign prostate hyperplasia in our hospital from May 2013 to May 2014 were selected as the study objects,and they were divid-ed into the control group and the observation group,and 45 cases in each group.The control group was treated with tra-ditional open surgery,the observation group was treated with transurethral bipolar plasma kinetic resection of prostate. The clinical curative effects between two groups were compared. Results The intraoperative blood loss of observation group was（210.1±69.2） ml,less than that of control group（P〈0.05）.Bladder irrigation time in observation group was（2.1±0.8） d,length of stay in observation group was（5.4±1.7） d,shorter than that in control group respectively（P〈0.05）.The re-moval tissue of observation group was （112.9±24.8） g,significantly bigger than that of control group （P〈0.05）.Operative time of observation group was（105.3±32.5） min,longer than that of control group（P〈0.05）.IPSS of observation group at 3 months and 6 months after surgery was （16.4±0.7）,（13.1±0.4） points respectively,which had statistical difference com-pared with control group（P〈0.05）.QOL score of observation group at 3 months and 6 months after surgery was （5.7±0.9）, （18.4±1.1）points respectively,which had statistical difference compared with control group （P〈0.05）. Conclusion Com-pared with traditional open surgery,transurethral bipolar plasma kinetic resection of prostate in the clinical treatment of large volume benign prostate hyperplasia has obvious advantages in minimally invasive trauma,which help patients with small trauma,less blood in the operative treatment and rapid recovery after surgery.So it’s worth to be popularized.