经尿道前列腺电切术与经尿道双极等离子电切术治疗良性前列腺增生的效果观察

Effect observation of transurethrue resection of prostate and transurethral plasmakinetic resection of prostate treating benign prostatic hyperplasia

目的研究经尿道前列腺电切术与经尿道双极等离子电切术治疗良性前列腺增生的效果。方法回顾性分析2015年3月~2017年4月在赣州市立医院泌尿外科接受手术治疗的78例良性前列腺增生患者的临床资料,根据手术方法不同分为两组,A组36例患者行经尿道前列腺电切术治疗,B组42例患者行经尿道双极等离子电切术治疗。比较两组患者的手术时间、术中出血量、术后恢复指标等。结果两组的手术时间、切除腺体重量差异无统计学意义(P>0.05);B组患者的术中出血量显著少于A组(P<0.01),术后并发症发生率(7.14%)显著低于A组(25.00%)(P<0.05);B组患者的术后冲洗时间、导尿管留置时间、住院时间明显短于A组,且术后3个月的IPSS评分、QOL评分均低于A组(P<0.01);B组的最大尿流率高于A组,剩余尿量少于A组(P<0.01)。结论在良性前列腺增生的微创手术治疗中,经尿道双极等离子电切术的手术创伤更小,患者术后恢复较快,有利于患者尿道功能尽快恢复,可提高其生活质量,具有推广价值。

Objective To study the effect of transurethrue resection of prostate （TURP） and transurethral plasmakinetic re- section of prostate （TUPKP） treating benign prostatic hyperplasia （BPH）.Methods Clinical data of 78 patients with BPH underwent surgical treatment in urology department of Ganzhou Municipal Hospital from March 2015 to April 2017 were retrospectively analyzed and they were divided into two groups according to the different surgical methods.36 pa- tients in group A were treated by TURP,while 42 patients in group B were treated by TUPKP.The operation time,intra- operative blood loss and postoperative recovery index and so on were compared in patients between the two groups.Re- suits There was no statistical difference of the operation time and the weight of the excised gland between the two groups （P〉0.05） and the intraoperative blood loss of group B was significantly fewer than that of group A （P〈0.01）,and the incidence of postoperative complications （7.14%） was higher than that of group A （25.00%） （P〈0.05）.the postopera- tive flushing time,indwelling catheter time and hospitalization time of group B were shorter that those of group A （P〈0.01） and IPSS score and QOL score after 3 months operation were lower than those of group A （P〈0.01）.The maximum urinary flow rate of group B was higher than that of group A,and the residual urine volume of group B was fewer than that of group A （P〈0.01）.Conclusion In minimally-invasive surgeries treatment of BPH,TUPKP has the features of less surgi- cal trauma and fast postoperative recovery,and is conducive to the recovery of urethral function of patients,which can improve the quality of life in patients and has the popularization value.