比较经尿道前列腺双极等离子剜除术与电切术治疗良性前列腺增生的疗效

Comparison of the Efficacy of Transurethral Prostate and Other Bipolar Ionization and Resection for Benign Prostatic Hyperplasia

目的研究经尿道前列腺双极等离子剜除手术、电切手术对于良性前列腺增生患者的作用与效果。方法方便抽取该院接受并治疗的60例良性前列腺增生病例,抽选时间为2017年12月—2019年8月,30例接受经尿道前列腺双极等离子电切手术的为A组,30例接受经尿道前列腺双极等离子剜除手术的为B组,观察比较其结果。结果在治疗后,B组患者并发症的总发生率6.67%、生活质量量表(QOL)评分(16.73±3.20)分、国际前列腺症状评分表(IPSS)评分(10.54±2.07)分对比A组患者并发症的总发生率26.67%、QOL评分(33.23±3.95)分、IPSS评分(19.76±2.58)分更低,差异有统计学意义(χ^2=4.320,P=0.038;t=17.778,P=0.000;t=15.267,P=0.000)。结论对于良性前列腺增生患者而言,经尿道前列腺双极等离子剜除手术能够得到更为良好且确定的治疗效果,建议临床推崇使用。

Objective To study the effect and effect of transurethral prostate enucleation and bipolar ion excision surgery and resection surgery on patients with benign prostatic hyperplasia.Methods 60 cases of benign prostatic hyperplasia received and treated in our hospital were selected.The selection time was from December 2017 to August 2019.Thirty patients who underwent transurethral convenient resection of the prostate were treated as group A.Thirty patients who underwent transurethral prostate bipolar plasmapheresis were group B,and the results were observed and compared.Results After treatment,the total incidence of complications in group B patients was 6.67%,the quality of life scale(QOL)score(16.73±3.20)points,and the international prostate symptom score(IPSS)score(10.54±2.07)points.Patients in the group the total incidence of complications was 26.67%,QOL score(33.23±3.95)points,IPSS score(19.76±2.58)points,the difference was statistically significant(χ^2=4.320,P=0.038;t=17.778,P=0.000;t=15.267,P=0.000).Conclusion For patients with benign prostatic hyperplasia,transurethral prostate bipolar plasmapheresis can obtain a better and definitive treatment effect,and it is recommended to use it clinically.