经尿道前列腺等离子电切术治疗前列腺增生症合并慢性前列腺炎的效果评价

Evaluation on the Effect of Transurethral Plasmakinetic Resection of Prostate for the Treatment of Benign Prostatic Hyperplasia Complicated with Chronic Prostatitis

目的探讨经尿道前列腺等离子电切术治疗前列腺增生症合并慢性前列腺炎的效果。方法选取我院2015年7月至2018年7月收治的114例前列腺增生症合并慢性前列腺炎患者,随机分为两组各57例。研究组采用经尿道前列腺等离子电切术治疗,对照组采用耻骨上经膀胱前列腺摘除术治疗。比较两组的手术情况、 MFR (最大尿流率)、 IPSS (国际前列腺症状评分表)评分。结果研究组的术中出血量显著少于对照组,手术时间、住院时间显著短于对照组, MFR显著高于对照组,差异有统计学意义(P <0.05);治疗后,研究组的IPSS评分显著低于对照组,差异有统计学意义(P <0.05)。结论经尿道前列腺等离子电切术治疗前列腺增生症合并慢性前列腺炎患者的效果显著,可缩短治疗时间,减轻临床症状,提高尿流率。

Objective To explore the effect of transurethral plasmakinetic resection of prostate for the treatment of benign prostatic hyperplasia complicated with chronic prostatitis. Methods 114 cases of patients with benign prostatic hyperplasia complicated with chronic prostatitis admitted to our hospital from July 2015 to July 2018 were selected and randomly divided into two groups, with 57 cases in each group. The control group was treated with suprapubic transvesical prostatectomy, while the study group was treated with transurethral plasmakinetic resection of prostate. The surgical conditions, MFR (maximum urinary flow rate), and IPSS score were compared between the two groups. Results The intraoperative blood loss of the study group was significantly less than that of the control group, the operation time and hospitalization time were significantly shorter than those of the control group, and the MFR was significantly higher than that of the control group (P <0.05). After treatment, the IPSS score of the study group was significantly lower than that of the control group (P <0.05). Conclusions Transurethral plasmakinetic resection of prostate for the treatment of patients with benign prostatic hyperplasia complicated with chronic prostatitis has significant effect, which can relieve clinical symptoms, and improve the maximum urinary flow rate.