评价经尿道前列腺双极等离子电切术与前列腺电切术治疗良性前列腺增生的临床效果及其安全性

Evaluation of the Clinical Effect and Safety of Transurethral Prostate Bipolar Plasma Electrotomy and Prostate Electrotomy for Benign Prostatic Hyperplasia

目的分析良性前列腺增生采用经尿道前列腺双极等离子电切术与前列腺电切术治疗的临床疗效。方法选取该院2016年1月—2019年4月收治的66例良性前列腺增生患者为研究对象,随机分为两组,对照组采用前列腺电切术治疗,观察组则采用经尿道前列腺双极等离子电切术与治疗,对比两组围术期指标、手术前后IPSS(国际前列腺症状评分)、Qmax(最大尿流率)并发症发生情况。结果观察组术中出血量为(221.02±10.28)mL,手术时间为(60.02±2.28)min,住院时间为(6.52±1.02)d,导尿管留置时间为(4.15±1.02)d,冲洗膀胱时间为(1.05±0.02)d,均优于对照组,差异有统计学意义(t=39.170、17.912、14.633、20.237、18.553,P<0.05);观察组并发症发生率为6.06%,低于对照组的24.24%,差异有统计学意义(χ^2=4.243,P<0.05)。结论良性前列腺增生采用经尿道前列腺双极等离子电切术治疗的效果优于前列腺电切术,安全性高。

Objective To analyze the clinical efficacy of transurethral prostate bipolar plasma electrotomy and prostatectomy for benign prostatic hyperplasia.Methods 66 patients with benign prostatic hyperplasia admitted to the hospital from January 2016 to April 2019 were randomly divided into two groups.The control group was treated with prostatectomy,and the observation group was treated with transurethral prostate bipolar plasma.Electrosurgery and treatment were compared between the two groups of perioperative indicators,IPS(International Prostate Symptom Score)and Qmax(maximum urinary flow rate)complications before and after surgery.Results In the observation group,the intraoperative blood loss was(221.02±10.28)mL,the operation time was(60.02±2.28)min,the hospital stay was(6.52±1.02)d,and the catheter indwelling time was(4.15±1.02)d.The rinse bladder time was(1.05±0.02)d,which was better than the control group.The difference was statistically significant(t=39.170,17.912,14.633,20.237,18.553,P<0.05).The incidence of complications in the observation group was 6.06%,lower than that.The control group had 24.24%,the difference was statistically significant(χ^2=4.243,P<0.05).Conclusion Benign prostatic hyperplasia is superior to prostate resection by transurethral bipolar plasma electrotomy,which is safe.