经尿道两环两沟法等离子铲状电极剜除术治疗重度前列腺增生效果分析

Effects of transurethral prostate enucleation by shovel-shaped plasma electrode with two loops and two grooves on severe prostatic hyperplasia

目的探讨经尿道两环两沟法等离子铲状电极剜除术治疗重度前列腺增生的临床疗效。方法抽取连云港市中医院2017年4月至2019年4月收治的重度前列腺增生患者82例,其中44例采用经尿道两环两沟法等离子铲状电极剜除术的患者作为研究组,38例采用经尿道等离子电切术治疗的患者作为对照组。比较两组患者围术期指标、治疗效果及不良反应发生情况。结果研究组手术时间、术中出血量及尿管留置时间少于对照组,研究组患者的前列腺切除量高于对照组(P<0.05)。研究组治疗总有效率(95.45%,34/44)优于对照组(81.58%,12/38),差异有统计学意义(χ2=9.205,P<0.001)。研究组总不良反应发生率(11.36%,5/44)低于对照组(35.00%,13/38),差异有统计学意义(χ2=12.629,P<0.001)。结论经尿道两环两沟法等离子铲状电极剜除术具有微创、安全、高效的优势,有利于改善围术期指标,提升重度前列腺增生患者的临床治疗效果。

Objective To analyze the clinical effects of transurethral prostate enucleation by shovel-shaped plasma electrode with two loops and two grooves in the treatment of severe prostatic hyperplasia.Methods Eighty-two patients with severe prostatic hyperplasia treated by transurethral prostate enucleation by shovel-shaped plasma electrode with two loops and two grooves in Lianyungang Traditional Chinese Medicine Hospital from April 2017 to April 2019 were selected,of which 44 cases treated by transurethral prostate enucleation by shovel-shaped plasma electrode with two rings and two grooves were selected as the study group,and 38 cases treated by transurethral plasma electrotomy were selected as the control group.The perioperative indicators,therapeutic effects and incidences of adverse reactions of the two groups were compared.Results The operation time,intraoperative blood loss and catheter indwelling time of the study group were significantly lower than those of the control group(P<0.05).The resection volume of prostate was more in the study group,compared to the control group(P<0.05).The total effective rate of the study group was 95.45%(34/44),significantly higher than the 81.58%(12/38)of the control group(χ2=9.205,P<0.001).The incidence of adverse reactions in the study group was 11.36%(5/44),significantly lower than the 35.00%(13/38)in the control group(χ2=12.629,P<0.001).Conclusions Transurethral prostate enucleation by shovel-shaped plasma electrode with two loops and two grooves has the advantages of minimally invasive,safe and efficient,which is conducive to improving the perioperative indicators levels and therapeutic effects of patients with severe prostatic hyperplasia.