经尿道等离子前列腺电切术与剜除术治疗前列腺增生的疗效对比

Comparison on efficacy of transurethral plasmakinetic resection of the prostate and enucleation for the treatment of benign prostatic hyperplasia

目的对比经尿道等离子前列腺电切术与剜除术治疗前列腺增生的疗效。方法 60例前列腺增生患者参与本次实验,采取抽签的方式将其随机分为观察组和对照组,每组30例。对照组采用经尿道等离子前列腺电切术治疗,观察组采用经尿道电切镜前列腺剜除术治疗。对比两种治疗方案的临床疗效。结果观察组患者手术时间、留置尿管时间、膀胱冲洗时间、住院时间均短于对照组,术中出血量少于对照组,差异均具有统计学意义(P<0.05)。观察组患者并发症发生率为10.0%,低于对照组的33.3%,差异具有统计学意义(P<0.05)。结论与经尿道等离子前列腺电切术相比,经尿道电切镜前列腺剜除术在治疗前列腺增生中具有更好的临床疗效,值得临床推广应用。

Objective To compare the efficacy of transurethral plasmakinetic resection of the prostate and enucleation for the treatment of benign prostatic hyperplasia. Methods A total of 60 patients with benign prostatic hyperplasia involved in this study were divided by lottery method into observation group and control group, with 30 cases in each group. The control group was treated with transurethral plasmakinetic resection of the prostate, and the observation group was treated with transurethral resectoscope enucleation of the prostate. The clinical efficacy of two regimens was compared. Results The observation group had shorter operation time, indwelling catheter time, bladder irrigation time, hospitalization time than the control group, and less intraoperative bleeding volume than the control group. Their difference was statistically significant（P〈0.05）. The observation group had lower incidence of complications as 10.0% than 33.3% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Compared with transurethral plasmakinetic resection of the prostate, the ransurethral resectoscope enucleation of the prostate shows better clinical efficacy in treating benign prostatic hyperplasia, and it is worthy of clinical promotion and application.