经尿道前列腺球囊扩裂术与经尿道前列腺等离子电切术治疗前列腺增生症的比较分析

Comparative Analysis of Transurethral Balloon Dilatation of the Prostate and Transurethral Plasmakinetic Resection of Prostate in Treatment of Hyperplasia of Prostate

目的对比分析经尿道前列腺球囊扩裂术与经尿道前列腺等离子电切术治疗前列腺增生症的临床效果。方法方便选取该院2014年5月—2015年12月期间所收治的69例前列腺增生症患者作为该次研究对象,按照不同的治疗方式分为两组,对比分析两组患者手术出血量、手术时间、以及并发症发生情况,并观察两组患者手术前、手术后3个月国际前列腺症状评分、生活质量评分以及有无增加勃起功能障碍、有无逆行射精。结果治疗后两组各项指标存在明显差异,PKRP组国际前列腺症状评分(5.3±1.7)分、生活质量评分(1.5±0.7)分、手术时间(45.42±8.24)min以及手术出血量(71.25±10.12)m L与TUDP组[(12.4±3.2)分、(2.5±0.5)分、(18.41±4.62)min、(19.42±3.56)m L]相比,差异有统计学意义,且手术后逆行射精率与经尿道前列腺球囊扩裂术组也存在显著差异,两组差异有统计学意义(P<0.05)。在手术后的3个月,对患者有无增加勃起功能障碍率进行比较,发现两组在此方面差异无统计学意义(P>0.05)。结论经尿道前列腺等离子电切术是前列腺增生症患者优先选择的治疗方式,对于年轻且能够避免逆行射精的患者来说,选择经尿道前列腺球囊扩裂术治疗也可行。

Objective To compare and analyze the clinical effect of transurethral balloon dilatation of the prostate and transurethral plasmakinetic resection of prostate in treatment of hyperplasia of prostate. Methods Convenient selection 69 cases of patients with hyperplasia of prostate admitted and treated in our hospital from May 2014 to December 2015 were selected and divided into two groups according to different methods, the intraoperative bleeding amount, operation time and occurrence of complications of the two groups were compared and analyzed and the international prostate symptom score,quality of life score and erectile dysfunction and retrograde ejaculation or not of the two groups before surgery and in 3months after surgery Results After treatment, there were obvious differences in various indexes, and the differences in the international prostate symptom score, quality of life score, operation time and intraoperative bleeding amount between the PKRP group and TUDP group, [(5.3±1.7)points,(1.5±0.7)points,(45.42±8.24)min,(71.25±10.12)m L vs(12.4±3.2)points,(2.5±0.5)points,(18.41±4.62)min,(19.42±3.56)m L], were obvious, and the difference in the retrograde ejaculation rate between the two groups was obvious with statistical significance(P<0.05), and the difference in the erectile dysfunction rate in 3months after surgery between the two groups was not obvious with statistical significance(P >0.05). Conclusion The transurethral plasmakinetic resection of prostate is the preferred method for patients with hyperplasia of prostate, and for young patients who can avoid the erectile dysfunction, the selection of transurethral balloon dilatation of the prostate is also feasible.