经尿道前列腺等离子电切术对良性前列腺增生患者的疗效

Curative Effect of Transurethral Resection of the Prostate in Patients with Benign Prostatic Hyperplasia

目的探讨经尿道前列腺等离子电切术对良性前列腺增生患者的疗效。方法方便选取2014年3月—2017年3月接受治疗的614例良性前列腺增生患者,随机分为观察组与对照组,每组307例。对照组患者采用经尿道前列腺汽化电切术治疗,观察组患者采用经尿道前列腺等离子电切术治疗。对比两组患者的手术指标、临床疗效及并发症发生率。结果治疗后,观察组患者的手术时间、术中出血量、术后冲洗时间、留置尿管时间、住院时间、术后继发出血发生率、术后尿失禁发生率及术后尿道狭窄发生率分别为(71.52±19.53)min、(215.24±45.17)m L、(28.21±11.13)h、(81.25±16.32)h、(6.54±1.25)d、3.58%、0.33%及1.63%,均明显低于对照组的(89.35±21.41)min、(309.19±89.26)m L、(35.15±13.22)h、(111.35±21.43)h、(7.86±1.53)d、8.79%、3.26%及5.54%(P<0.01);观察组患者的国际前列腺症状评分、生活质量指数及最大自由尿流率分别为(6.21±1.92)分、(1.59±0.58)分及(16.31±3.04)m L/s,均与对照组的(5.98±1.74)分、(1.62±0.61)分及(15.95±2.83)m L/s差异无统计学意义(P>0.05)。结论经尿道前列腺等离子电切术能有效缩短良性前列腺增生患者的手术时间,减少出血量,促进恢复,值得临床推广。

Objective To study the curative effect of transurethral resection of the prostate in patients with benign prostatic hyperplasia. Methods Convenient selection 614 cases of patients with benign prostatic hyperplasia treated in our hospital from March 2014 to March 2017 were selected and randomly divided into two groups with 307 cases in each, the control group and the observation group were respectively treated with transurethral resection of the prostate and transurethral resection of the prostate, and the operation index, clinical curative effect and incidence rate of complications were compared between the two groups. Results After treatment, the operation time, intraoperative bleeding amount, postoperative washing time, catheter indwelling time, length of stay, incidence rate of postoperative secondary bleeding, incidence rate of postoperative urinary incontinence and incidence rate of postoperative ankylourethria were obviously lower than those in the control group[(71.52±19.53)min,(215.24±45.17)m L,(28.21±11.13)h,(81.25±16.32)h,(6.54±1.25)d, 3.58%, 0.33%, 1.63% vs(89.35±21.41)min,(309.19±89.26)m L,(35.15±13.22)h,(111.35±21.43)h,(7.86±1.53)d, 8.79%, 3.26%, 5.54%](P<0.01), and there were no obvious differences in the international prostate symptom score, quality of life index and urine flow rate of maximum freedom between the observation group and the control group [(6.21±1.92)points,(1.59±0.58)points and(16.31±3.04)m L/s vs(15.98±1.74)Points,(1.62±0.61)points and(15.95±2.83)m L/s](P>0.05). Conclusion The transurethral resection of the prostate can effectively shorten the operation time of patients with benign prostatic hyperplasia, reduce the bleeding amount and promote the recovery, and it is worth clinical promotion.