经尿道等离子前列腺剜除术与常规电切术治疗前列腺增生的对比研究

Comparative Study of Transurethral Plasmakinetic Enucleation and Conventional Electrotomy of Prostate in the Treatment of Prostatic Hyperplasia

目的比较经尿道等离子前列腺剜除术与常规电切术治疗前列腺增生的临床疗效情况。方法选取我院2017年6月至2018年6月期间收治的良性前列腺增生患者120例为研究对象。对照组采用经尿道前列腺电切术,观察组采用经尿道等离子前列腺剜除术。比较两组手术相关指标(切除腺体重量、术中出血量、膀胱冲洗时间、住院时间)、临床疗效(残余尿、尿流率、QOL、IPSS)及并发症。结果观察组切除腺体重量高于对照组,术中出血量、膀胱冲洗及住院时间等均明显少于对照组,(P<0.05);两组术前残余尿、尿流率、QOL及IPSS评分比较差异无统计学意义(P>0.05);术后,两组残余尿、QOL及IPSS评分均减少或降低,尿流率显著升高(P<0.05);观察组术后尿流率高于对照组,QOL及IPSS评分低于对照组(P<0.05);观察组术后并发症发生率明显低于对照组(P<0.05)。结论经尿道等离子前列腺剜除术和经尿道电切术均是治疗良性前列腺增生的有效手段,相较于后者,经尿道等离子前列腺剜除术治疗术中出血量少、术后恢复快,疗效更优,值得推广应用。

Objective To compare the clinical efficacy of transurethral plasmakinetic enucleation and conventional electrotomy of prostate in the treatment of prostatic hyperplasia. Methods 120 patients with benign prostatic hyperplasia admitted to our hospital from June 2017 to June 2018 were selected as the study subjects. The control group was treated with transurethral electrotomy of the prostate,while the observation group was treated with transurethral plasmakinetic enucleation of prostate. Relevant surgical indicators (gland weight,intraoperative bleeding,bladder irrigation time, time of hospital stay),clinical efficacy (residual urine,urinary flow rate,QOL,IPSS) and complications were compared between the two groups. Results The weight of excisional glands in the observation group was greater than that in the control group,and the intraoperative bleeding volume,bladder irrigation and hospital stay time were significantly less than those in the control group ( P <0.05),before operation,there were no significant differences in residual urine,urinary flow rate,QOL and IPSS scores between the two groups ( P >0.05),after operation,the scores of residual urine,QOL and IPSS scores in both groups decreased,while urinary flow rate increased significantly ( P <0.05),the postoperative urinary flow rate in the observation group was higher than that in the control group,and QOL and IPSS scores were both lower than those in the control group ( P <0.05),the incidence of postoperative complications in the observation group was significantly lower than that in the control group ( P <0.05). Conclusion Both Transurethral plasmakinetic enucleation and transurethral electrotomy of prostate are effective methods in the treatment of benign prostatic hyperplasia. Compared with the latter,transurethral plasmakinetic enucleation of prostate is,with less bleeding,faster recovery and better curative effect, worth clinically popularizing.