经尿道保留前列腺前叶等离子剜除术在前列腺增生临床治疗中的应用

The Application of Transurethral Plasma Enucleation of the Prostate Gland in Treatment of Prostatic Hyperplasia

目的:分析和研究经尿道保留前列腺前叶等离子剜除术在前列腺增生临床治疗中的应用。方法:研究对象为2017年1月-2019年1月于笔者所在医院接受治疗的100例前列腺增生患者,使用随机分组法将其分为对照组(50例)和观察组(50例),对照组使用经尿道前列腺电切术治疗,观察组使用经尿道保留前列腺前叶等离子剜除术治疗。对比两组手术时间、术中出血量、导尿管留置时间、住院时间及并发症发生情况。结果:观察组手术时间、导尿管留置时间、住院时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:经尿道保留前列腺前叶等离子剜除术是治疗前列腺增生的一种有效方法,同经尿道前列腺电切术相比,经尿道保留前列腺前叶等离子剜除术在手术指标、并发症方面优势更为明显,能够有效促进患者康复,值得临床采纳。

Objective:To analyze and study the clinical application of transurethral plasma enucleation of the prostate gland in the treatment of prostatic hyperplasia.Method:The subjects of this study were 100 patients with prostatic hyperplasia treated in our hospital from January 2017 to January 2019,they were randomly divided into the control group(50 cases)and the observation group(50 cases).The control group was treated with transprostate resection of the prostate,and the observation group was treated with transurinary plasma enucleation of the prostate gland.The operative time,intraoperative blood loss,catheter indwelling time,hospital stay and complications were compared between the two groups.Result:The operative time,catheter indwelling time and hospital stay time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Transurethral plasma enucleation of the prostate gland is an effective method for the treatment of prostatic hyperplasia.Compared with transurethral resection of the prostate,transurethral plasma enucleation of the prostate gland has more advantages in operative indexes and complications,which can effectively promote the recovery of patients and is worthy of clinical adoption.