尿道前列腺电切术与经尿道前列腺等离子双极电切术治疗良性前列腺增生的效果

The effect of urethral resection of the prostate and bipolar transurethral plasma kinetic prostatectomy in the treatment of benign prostatic hyperplasia

目的分析经尿道前列腺电切术(TURP)与经尿道前列腺等离子双极电切术(TUPKP)在良性前列腺增生(BPH)患者中的应用价值。方法回顾性选取2018年4月至2020年4月本院收治的68例BPH患者,依据治疗方案的不同分为对照组(TURP治疗,34例)与观察组(TUPKP治疗,34例),比较两组患者的手术指标、尿流动力学指标、国际前列腺症状(IPSS)评分及并发症情况。结果观察组的手术时间为(36.45±4.24)min、尿管留置时间为(1.95±0.27)d,明显短于对照组的手术时间[(45.62±5.73)min]与尿管留置时间[(2.34±0.42)d],且观察组的术中出血量为(14.54±1.93)mL,低于对照组的(20.31±5.26)mL,两组比较,差异有统计学意义(P<0.05);两组患者治疗后的尿流动力学指标比较,差异无统计学意义(P>0.05);观察组治疗后的IPSS评分为(8.56±1.95)分,明显低于对照组的(10.25±2.74)分,两组比较,差异有统计学意义(P<0.05);此外,观察组的并发症发生率为5.88%,明显小于对照组的26.47%,两组比较,差异有统计学意义(P<0.05)。结论TURP与TUPKP对BPH患者的尿流动力学均具有显著的改善效果,其中TUPKP术式的应用安全性更为理想。

Objective To analyze the application value of transurethral resection of the prostate(TURP)and bipolar transurethral plasma kinetic prostatectomy(TUPKP)in patients with benign prostatic hyperplasia(BPH).Methods A total of 68 patients with BPH admitted from April 2018 to April 2020 of our hospital were retrospectively selected.They were divided into the control group(TURP treatment,34 cases)and the observation group(TUPKP treatment,34 cases)according to the different treatment plans.The patients′surgical indexes,urodynamic indexes,international prostate symptoms(IPSS)score,and complications between the two groups were compared.Results The operation time(36.45±4.24)min and the urinary catheter indwelling time(1.95±0.27)d of the observation group were significantly shorter than the operation time[(45.62±5.73)min]and the urinary catheter indwelling time[(2.34±0.42)d]of the control group.The intraoperative blood loss of the observation group was(14.54±1.93)mL,which was less than the intraoperative blood loss of the control group[(20.31±5.26)mL].The difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference in the urodynamic indexes between the two groups after treatment(P>0.05).The IPSS score of the observation group after treatment was(8.56±1.95)points,which was significantly lower than that of the control group IPSS score[(10.25±2.74)points],and the difference between the two groups was statistically significant(P<0.05).In addition,the complication rate of the observation group was 5.88%,which was significantly lower than the complication rate of the control group(26.47%).The difference between the two groups was statistically significant(P<0.05).Conclusion Both TURP and TUPKP have a significant improvement effect on the urodynamics of BPH patients,and the TUPKP has more ideal application safety.