改良法经尿道前列腺等离子电切术在高危前列腺增生症治疗中的应用

Modified Transurethral Plasma Resection of Prostate in the Treatment of High Risk Prostatic Hyperplasia

目的探讨改良法经尿道前列腺等离子电切术在高危前列腺增生症治疗中的应用效果。方法选取我院2019年6月至2020年7月收治的80例高危前列腺增生症患者为本次试验研究的对象,利用硬币法将所有患者随机的分成两组,对照组有40例患者,观察组有40例患者。采用传统的经尿道前列腺等离子电切术对对照组的患者进行治疗,采用改良法经尿道前列腺等离子电切术对观察组患者进行治疗,记录两组患者的手术指标,比较两组患者治疗前后Q-MAX、IPSS评分、PVR、QOL评分、术后并发症及满意度情况。结果对照组患者手术时间要明显的长于观察组,其中在手术过程中出血量对照组患者的出现要明显的多于观察组患者,并且其住院时间短于对照组患者,在统计学上存在差异(P<0.05)。对照组和观察组患者治疗前膀胱残余尿量、最大尿流量及IPSS、QOL评分比较,差异无统计学意义(P>0.05),对照组治疗后最大尿流量、QOL评分高于观察组的患者,IPSS评分、膀胱残余尿量高于观察组,在统计学上存在差异(P<0.05)。观察组并发症发生率为2.50%(1/40),低于对照组22.50%(9/40),差异有统计学意义(P<0.05)。观察组满意度为92.50%(37/40),高于对照组82.50%(33/40),差异有统计学意义(P<0.05)。结论改良法经尿道前列腺等离子电切术治疗高危前列腺增生症效果显著,值得在高危前列腺增生症患者的治疗中大力推广。

Objective To investigate the effect of modified transurethral plasma resection of prostate in the treatment of high-risk benign prostatic hyperplasia.Methods We selected 80 patients with high-risk prostate hyperplasia admitted to our hospital from June 2019 to July 2020 as the subjects of this experimental study.Using the coin method,all patients were randomly divided into two groups.There were 40 patients in the control group and the observation group.There are 40 patients.Patients in the control group were treated with traditional transurethral plasma resection of the prostate.The observation group was treated with modified transurethral plasma resection of the prostate to treat patients in the observation group.The surgical indicators of the two groups were recorded and the two groups were compared.The patients'Q-MAX,IPSS score,PVR,QOL score,postoperative complications and satisfaction before and after treatment.Results The operation time of patients in the control group was significantly longer than that in the observation group.During the operation,patients in the control group had significantly more bleeding than those in the observation group,and their hospital stay was shorter than that in the control group,which was statistically different(P<0.05).The comparison of residual urine volume,maximum urine flow,IPSS and QOL scores between the control group and the observation group before treatment was not statistically significant(P>0.05).The maximum urine flow and QOL scores of the control group after treatment were higher than those in the observation group,IPSS score and bladder residual urine volume were higher than the observation group,there were statistical differences(P<0.05).The incidence of complications in the observation group was 2.50%(1/40),which was lower than 22.50%(9/40)in the control group,the difference was statistically significant(P<0.05).The satisfaction of the observation group was 92.50%(37/40),which was higher than 82.50%(33/40)in the control group,the difference was statistically significant(P<0.05).Conclusion The improved transurethral plasma resection of prostate is effective in the treatment of high-risk benign prostatic hyperplasia,which is worthy to be vigorously promoted in the treatment of high-risk benign prostatic hyperplasia.