经尿道等离子前列腺电切术及剜除术治疗良性前列腺增生症的疗效分析比较

Comparison of the Efficacy of Transurethral Plasma Prostatectomy and Hernia Removal for Benign Prostatic Hyperplasia

目的对经尿道等离子前列腺电切(TPKRP)、剜除术(TUERP)对良性前列腺症的治疗效果进行探讨。方法随机选取该院2014年7月—2018年4月收治的良性前列腺增生症患者118例,依据治疗方法差异分作两组,59例接受TPKRP治疗者作对照组,59例接受TUERP治疗者作实验组,回顾性对比分析两组治疗效果。结果实验组手术用时、术中出血量、尿管留置时间、住院时长较对照组少(t=16.274、34.121、27.334、8.229,P=0.034、0.021、0.023、0.041),实验组腺体切除量是(56.72±4.65)g,大于对照组的(45.12±5.33)g(t=15.643,P=0.035);实验组并发症发生率是3.39%,较对照组的16.95%低(χ~2=4.487,P=0.034)。结论经尿道等离子前列腺剜切术治疗良性前列腺增生症效果显著,且并发症少,值得选用。

Objective To investigate the therapeutic effect of transurethral plasma prostatectomy （TPKRP） and defecation （TUERP） on benign prostatic disease. Methods A total of 118 patients with benign prostatic hyperplasia admitted to the hospital from July 2014 to April 2018 were randomly selected. According to the difference of treatment methods, 59 patients were treated with TPKRP as control group and 59 patients receiving TUERP as the experimental group, the therapeutic effects of the two groups were analyzed retrospectively. Results The operation time, intraoperative blood loss, urinary catheter indwelling time, and length of hospitalization in the experimental group were less than those in the control group （t=16.274, 34.121, 27.334, 8.229, P=0.034, 0.021, 0.023, 0.041）, the cut amount in the experimental group of （56.72±4.65）g, which was greater than that of the control group （45.12±5.33）g （t=15.643, P=0.035）; the incidence of complications in the experimental group was 3.39%, which was lower than that of the control group （16.95%）（X^2=4.487, P=0.034）. Conclusion Transurethral plasma prostatectomy for benign prostatic hyperplasia is effective and has few complications. It is worthy of application.