经尿道等离子体双极汽化电切术治疗高危前列腺增生

Treatment of high-risk prostate hyperplasia with transurethral plasma bipolar vaporization electrocision

目的观察经尿道等离子体双极汽化电切术治疗高危前列腺增生的临床效果。方法2013年1月至2015年7月期间,本院共收治了144例高危前列腺增生患者,将所有患者随机分为对照组和观察组,每组各72例,给予对照组患者传统电切术治疗,观察组患者实施经尿道等离子体双极汽化电切术,评估两组患者的治疗效果。结果观察组72例手术所用时间、切除前列腺组织的重量、术中失血量均要显著优于对照组,两组数据进行对比,差异具有统计学意义(P<0.05);观察组患者术后不良症状发生率为2.78%,显著低于对照组患者18.06%,差异具有统计学意义(P<0.05);观察组患者术后残余尿、最大尿流率、血钠水平、中心静脉压、满意度等指标与对照组进行对比,差异显著,具有统计学意义(P<0.05)。结论对高危前列腺增生患者实施经尿道等离子体双极汽化电切术,能够改善患者的临床指标,缩短痊愈时间,提高患者生活质量。

Objective To observe the effect of transurethral plasma bipolar vaporization electrocision on treatment of high-risk prostate hyperplasia. Methods 144 patients with high-risk prostate hyperplasia were randomly divided into control group and observation group, 72 cases in each group. The control group was treated with traditional cutting. The observation group was treated with transurethral plasma bipolar vaporization electrocision. The therapeutic effect was ob- served. Results The operation length, weight of resection of prostate tissue and intraoperative blood loss of observation group were significantly superior to those of control group （P〈0.05）. The incidence of postoperative adverse symptoms of observation group （2.78%） was significantly lower than that of the control group （18. 06%） （P〈0.05）. The postop- erative residual urine, maximum urinary flow rate, serum sodium level, central venous pressure and satisfaction index of observation group were statistically different from those of control group （P〈0.05）. Conclusion Transurethral plasma bipolar vaporization electrocision can improve the clinical indicators, shorten the healing time and improve the patients quality of life of high-risk prostate hyperplasia patients.