经尿道等离子双极电切术治疗前列腺增生145例术中及术后近期并发症探讨

Study of 145 Cases of Prostatic Hyperplasia Treated with Transurethral Bipolar Plasma Cutting and Complications in Intraoperative and Postoperative Short-term

目的探讨前列腺增生患者接受经尿道等离子双极电切术治疗的临床疗效以及手术中和手术后近期发生的并发症。方法选择2012年1月—2015年12月在该院治疗前列腺增生患者145例为研究对象,对其应用经尿道等离子双极电切术治疗,统计患者的治疗效果。结果手术中最常出现的并发症是前列腺包膜穿孔;手术后近期并发症发生率最高的是膀胱痉挛;手术后患者的I-PSS为(6.8±2.0)分,QOL为(2.3±0.9)分,均较手术前大大减小;Qmax为(15.6±7.8)m L/s,较手术前显著增加,手术前后对比差异有统计学意义(P<0.05)。结论前列腺增生患者接受经尿道等离子双极电切术治疗取得了良好的临床效果,手术安全性高,并发症较少,患者的生活质量显著改善,值得大力推广。

Objective To investigate the clinical curative effect of prostate hyperplasia patients received transurethral bipolar plasma cutting and surgery and their complications in intraoperative and postoperative short-term. Methods Choosing 145 case of prostate hyperplasia patients during January 2012 to December 2012 in our hospital as the research object, used transurethral plasma cutting for them and recorded the treatment effects. Results The complication occurred most commonly in intraoperative is prostatic capsule perforation, and bladder spasm is the highest incidence of complications in postoperative short-term. The PSS which is（6.8±2.0） points and QOL which is（2.3±0.9） points of postoperative patients are less than preoperation, and Qmax value which is（15.6±7.8） mL/s is more than preoperation,there is a significant difference between preoperation and postoperative（P〈0.05）. Conclusion Prostate hyperplasia patients received Transurethral bipolar plasma cutting for the treatment achieved good clinical effect, the surgery with high safety and less complications, the patient＇s quality of life improved significantly, which is worth promoting.