经尿道前列腺等离子电切术联合膀胱颈内切开术对小体积前列腺增生患者术后IPSS评分及生活质量的影响

Effect of transurethral plasmakinetic resection of prostate combined with incision of bladder neck on postoperative IPSS score and quality of life in patients with small volume prostatic hyperplasia

目的探讨经尿道前列腺等离子电切术(PKRP)联合膀胱颈内切开术(TUIBN)对小体积前列腺增生(PH)患者术后国际前列腺症状量表(IPSS)评分及生活质量的影响。方法选取我院小体积PH患者96例,依照手术方案不同将其分为常规组(n=48)和研究组(n=48)。常规组采用经尿道前列腺电切术(TURP)+TUIBN,研究组采用PKRP+TUIBN。比较两组手术相关指标(手术时间、术中出血量、置管时间、住院时间)、手术前、后最大尿流率、残余尿量、膀胱压力、IPSS评分、生活质量评分及并发症发生情况。结果两组手术时间、术中出血量、置管时间、住院时间比较,差异无统计学意义(P>0.05)。术后2个月,研究组最大尿流率、膀胱压力、GQOL-74评分高于常规组,残余尿量、IPSS评分低于常规组(P<0.05)。研究组并发症总发生率为4.17%,低于常规组的16.67%(P<0.05)。结论PKRP联合TUIBN治疗小体积PH患者效果显著,可降低患者术后IPSS评分,提高患者生活质量,且安全性高。

Objective To investigate the transurethral plasmakinetic resection of prostate(PKRP)combined with transurethral incision of bladder neck(TUIBN)on postoperative international prostate symptom scale(IPSS)score and quality of life in patients with small volume prostatic hyperplasia(PH).Methods Ninety-six patients with small volume PH in our hospital were selected.The patients were divided into routine group(n=48)and study group(n=48)according to the surgical plan.The routine group used transurethral resection of the prostate(TURP)+TUIBN,and the study group used PKRP+TUIBN.The surgical related indicators(operative time,intraoperative bleeding volume,catheterization time,hospitalization time),maximum urinary flow rate,residual urine volume,bladder pressure,IPSS score,quality of life score before and after operation and complications were compared between the two groups.Results There were no significant differences between the two groups in operation time,intraoperative bleeding volume,catheterization time and hospitalization time(P>0.05).At 2 months after operation,the maximum urine flow rate,bladder pressure,GQOL-74 score of the study group were higher than those of the routine group,the residual urine volume and IPSS score were lower than those of the routine group(P<0.05).The total incidence of complications in the study group was 4.17%,which was lower than 16.67%of the routine group(P<0.05).Conclusion PKRP combined with TUIBN is effective in the treatment of small vol ume PH patients,which can reduce the postoperative IPSS score,improve the quality of life,and have high safety.