经尿道前列腺汽化电切术与经尿道前列腺电切术治疗前列腺增生症的对比分析

Comparative Analysis of Transurethral Vaporization of Prostate and Transurethral Resection of Prostate for Treatment of Benign Prostatic Hyperplasia

目的探讨比较经尿道前列腺汽化电切术和经尿道前列腺电切术治疗前列腺增生症的临床效果。方法选取在2017年1月—2018年1月期间该院收治的60例前列前增生患者作为研究对象,根据患者的自身身体状况以及患者和患者家属的意愿将其按照治疗方案分为观察组和对照组,其中对照组25例,观察组35例。观察组的25例患者采用经尿道前列腺汽化电切术治疗,对照组采用经尿道前列腺电切术治疗。并将两组患者的疗效、术后导尿管置留时间、手术的时间、出血量、手术后的冲洗时间、术后并发症的发作情况、住院时间、术后的尿液残留量、国际前列腺症状评分以及生活质量评分。结果观察组中患者的手术时间(58.23±11)min、出血量(19.77±2)mL、手术后的冲洗时间(34.55±6)h、术后导尿管置留时间(3.4±0.56)d、住院时间(7.56±0.66)d皆少于对照组手术时间(78.2±10)min、手术出血量(99.33±5)mL、手术后的冲洗时间(77.66±3)h、术后导尿管置留时间(4.65±0.44)d、住院时间(14.56±0.46)d,差异有统计学意义(P<0.05)手术前,观察组和对照组的国际前列腺症状评分、生活质量评分和尿量残余差异无统计学意义(P>0.05);手术结束后,观察组患者的疗两组国际前列腺症状评分、生活质量评分和尿量残余差异有统计学意义(P<0.05),二者并发症发发生概率差异无统计学意义(χ2=0.036,P>0.05)。结论相对经尿道前列腺电切术治疗法而言,经尿道前列腺汽化电切术手术速度快且方便,手术出血量相对较少,更安全,术后冲洗时间段,术后导尿管滞留时间短,可以作为治疗前列腺增生的首选方法,这在临床上值得广泛推广。

Objective To investigate the clinical effects of transurethral vaporization of the prostate and transurethral resection of the prostate for benign prostatic hyperplasia. Methods Sixty patients with pro-progenitor hyperplasia admitted to the hospital from January 2017 to January 2018 were selected as subjects. According to the patient’s own physical condition and the patient’s and family’s wishes, they were divided into observation group and control group according to the treatment plan, including 25 cases in the control group and 35 cases in the control group. 25 patients in the observation group were treated with transurethral vaporization of the prostate, and the observation group was treated with transurethral resection of the prostate. The efficacy of the two groups of patients, postoperative catheter retention time, time of surgery, postoperative bleeding volume, postoperative lavage time, postoperative complications, hospitalization time, postoperative urine residue volume, international prostate symptom score, and quality of life score. Results The operation time of the patients in the observation group(58.23±11)min, the amount of surgical bleeding(19.77±2)m L, the flushing time after surgery(34.55±6)h, the postoperative catheter retention time(3.4±0.56) d, hospitalization time(7.56±0.66) d was less than the operation time of the control group(78.2±10)min, the amount of surgical bleeding(99.33±5)mL, the flushing time after surgery(77.66±3)h, and the postoperative catheter retention time(4.65±0.44) d,hospitalization time(14.56±0.46) d, the difference was statistically significant(P<0.05). Before the operation,there was no statistically significant difference in the international prostate symptom score, quality of life score and urine volume between the observation group and the control group(P>0.05). After the operation, The operative time, the difference of international prostate symptom score,quality of life score and urine volume in two groups were statistically significant(P<0.05). There was no statistically significant difference in the probability of complications(χ^2=0.036, P>0.05). Conclusion Compared with transurethral resection of the prostate, transurethral vaporization of the prostate is fast and convenient,the amount of bleeding is relatively small, safer, postoperative lavage period, postoperative catheter retention time is short, can be used as the first choice for the treatment of benign prostatic hyperplasia, which is worthy of widespread promotion in the clinic.