经尿道等离子电切术治疗良性前列腺增生的临床研究

Clinical study of transurethral resection of prostate for the treatment of benign prostatic hyperplasia

目的探讨良性前列腺增生(BPH)采用经尿道等离子电切术(PKRP)治疗的效果。方法以随机抽签的方式,将选取的2014年9月~2016年9月期间在某院实施治疗的BPH患者98例分为两组,其中对照组49例应用经尿道前列腺电切术(TURP),而观察组49例应用PKRP治疗,比较两组患者手术时间、切除组织重量、术中出血量、留置尿管时间以及术后最大尿流率等指标情况,探讨PKRP应用于BPH患者的临床价值。结果观察组手术时间、切除组织重量、术中出血量、尿管留置时间均低于对照组(P<0.05);观察组术后最大尿流率显著高于对照组(P<0.05);观察组并发症发生率明显低于对照组(P<0.05)。结论 BPH患者应用PKRP治疗,可取得较为满意的疗效,改善患者生活质量。

Objective To investigate the therapeutic effect of transurethral resection of prostate( BPH) for the treatment of benign prostatic hyperplasia. Methods In a random draw, from September 2014 to September 2016 in our hospital, 98 patients with BPH were divided into two groups,including 49 cases in the control group using TURP( transurethral resection of the prostate), and observe group 49 cases by PKRP treatment. The clinical value of PKRP in patients with BPH was compared between the two groups in terms of operation time, the weight of resected tissue, the amount of intraoperative blood loss, the time of indwelling catheter, and the maximum urinary flow rate after operation. Results in the observation group, the maximum urine flow rate was significantly higher than that of the control group( P < 0.05); the observation group catheter indwelling time, operation time,the weight of resected tissue and postoperative bleeding were lower than those of the control group( P < 0.05), the complication rate of observation group was significantly lower than the control group( P < 0.05). Conclusion BPH patients with PKRP treatment, can achieve a more satisfactory curative effect,improve the quality of life of patients.