经尿道等离子前列腺剜除术治疗前列腺增生症的疗效

Efficacy of Transurethral Plasma Prostatectomy for Benign Prostatic Hyperplasia

目的探讨经尿道等离子前列腺剜除术治疗前列腺增生症的疗效。方法选取2017年9月~2019年8月我院收治的前列腺增生症患者74例,采用随机数表法分为实验组和对照组,每组37例。实验组行经尿道等离子前列腺剜除术,对照组行经尿道前列腺电切术。比较两组术中出血量、最大尿流量、IPSS评分、术后残余尿量、并发症发生率及尿管留置时间。结果实验组并发症发生率为0,低于对照组的10.81%,差异具有统计学意义(P<0.05);实验组术后残余尿量为(27.21±3.82)ml、最大尿流量为(22.43±3.71)ml/s,优于对照组的(29.92±5.58)ml、(19.25±3.16)ml/s,差异具有统计学意义(P<0.05);两组术中出血量、留置尿管时间与前列腺切除量比较,差异具有统计学意义(P<0.05)。术后2个月,实验组IPSS评分为(5.19±1.36)分,低于对照组的(6.52±1.74)分,差异具有统计学意义(P<0.05)。结论经尿道等离子前列腺剜除术治疗前列腺增生症患者,可有效改善患者术中出血量、最大尿流量、IPSS评分、术后残余尿量,且并发症发生率低,利于患者术后康复。

Objective To investigate the efficacy of transurethral plasma prostate enucleation in the treatment of benign prostatic hyperplasia.Methods A total of 74 patients with benign prostatic hyperplasia treated in our hospital from September 2017 to August 2019 were selected and randomly divided into an experimental group and a control group,with 37 cases in each group.The experimental group underwent transurethral plasma prostatectomy,and the control group underwent transurethral resection of the prostate.The intraoperative blood loss,maximum urine flow,IPSS score,postoperative residual urine volume,complication rate,and urinary indwelling time were compared between the two groups.Results The complication rate in the experimental group was 0,which was lower than 10.81%in the control group,the difference was statistically significant(P<0.05).The residual urine volume in the experimental group was(27.21±3.82)ml and the maximum urine flow was(22.43±3.71)ml/s,which was better than(29.92±5.58)ml and(19.25±3.16)ml/s in the control group,the differences were statistically significant(P<0.05);The intraoperative blood loss,indwelling catheter time and prostatectomy volume were significantly different between the two groups(P<0.05).At 2 months after operation,the IPSS score of the experimental group was(5.19±1.36)points,which was lower than the control group(6.52±1.74)points,the difference was statistically significant(P<0.05).Conclusion Transurethral plasma prostatectomy for patients with benign prostatic hyperplasia can effectively improve the intraoperative blood loss,maximum urine flow,IPSS score,and residual urine volume,and the incidence of complications is low,which is conducive to postoperative recovery.