经尿道等离子前列腺剜除术与电切术治疗前列腺增生的疗效分析

Effect of transurethral plasma prostatectomy and electrotomy on prostatic hyperplasia

目的探究前列腺增生患者应用经尿道等离子电切术与经尿道等离子前列腺剜除术进行治疗的临床效果与特征。方法选取2015年9月至2017年10月本院收治的133例患者,且通过纳入标准均判定为前列腺增生患者,并对抽取的前列腺增生患者分为研究、对照两组分别为67例与66例,对照组的患者应用经尿道等离子电切术治疗,研究组患者则应用经尿道等离子前列腺剜除术治疗,观察并分析两组患者应用不同方法治疗后的临床效果与特征。结果研究组患者通过手术治疗后其手术时间、术中出血量、留置尿管时间、住院时间等各项指标明显优于对照组,且研究组前列腺增生患者出现的尿道损伤、尿道狭窄以及并发症发生率分别为2例、3例与7.46%,而对照组通过电切法治疗后出现的尿道损伤、尿道狭窄以及并发症发生率分别为7例、9例与24.24%。两组数据比较差异具有统计学意义(P<0.05)。结论针对前列腺增生患者选择经尿道等离子前列腺剜除术治疗可以起到较好的效果,治疗各项指标以及并发症发生情况明显优于对照组的经尿道等离子电切术治疗,值得在临床治疗中推荐和应用。

Objective To explore the application of patients with benign prostatic hyperplasia with transurethral plasmakinetic resection of the prostate for clinical effect and characteristics of treatment of transurethral plasmakinetic resection. Methods To analyze the object of this study is in our hospital from September 2015 to October 2017 and received the treatment of 133 patients, and the inclusion criteria were determined in patients with benign prostatic hyperplasia, and prostate hyperplasia were selected into the study and control group two were 67 cases and 66 cases, 66 cases of BPH patients according to application group of transurethral treatment, application of transurethral plasmakinetic enucleation of prostate for the treatment of 67 cases of benign prostatic hyperplasia patients from the study group, to observe and analyze the clinical effect and characteristics of two groups of patients after the application of different methods. Results The patients in the study group were significantly better than the control group in terms of operation time, intraoperative blood loss, indwelling catheter time, and hospitalization time after surgery, and the study group patients with benign prostatic hyperplasia, urethral stricture, urethral injury complications were 2 cases, 3 cases and 7.46%, while the control group by electric cutting method after treatment of urethral injury, urethral stricture and incidence of complications were 7 cases, 9 cases and 24.24%. There is a large difference between the two groups of data (P<0.05), which is of statistical value. Conclusion For patients with benign prostatic hyperplasia treated by transurethral plasmakinetic enucleation of the selected prostate can play a better effect, transurethral resection of the treatment indexes and complications were significantly better than the control group, and it is recommended to be used in clinical treatment.