经尿道保留前列腺前叶等离子剜除术治疗前列腺增生症的临床疗效

Clinical efficacy of transurethral plasmakinetic enucleation of the prostate with preservation of the anterior lobe in the treatment of benign prostatic hyperplasia

目的研究前列腺增生症采用经尿道保留前列腺前叶等离子剜除术治疗的效果。方法122例前列腺增生症患者,根据手术先后次序分为应用组和对比组,每组61例。对比组行经尿道前列腺电切术,应用组行经尿道保留前列腺前叶等离子剜除术。比较两临床相关指标(术中出血量、手术时间、导尿管留置时间、住院时间)、围手术期相关指标[腺体切除量、国际前列腺症状评分表(IPSS)、最大尿流率(Qmax)、残余尿量(RUV)]及并发症发生情况。结果应用组手术时间(53.67±16.58)min、导尿管留置时间(3.54±1.45)d以及住院时间(5.78±1.22)d均显著短于对比组的(76.25±22.17)min、(4.66±1.64)d、(7.69±1.47)d,术中出血量(95.65±17.25)ml少于对比组的(116.35±18.65)ml,差异具有统计学意义(P<0.05)。应用组腺体切除量(63.65±7.25)g多于对比组的(45.35±3.65)g,差异具有统计学意义(P<0.05);两组IPSS评分、Qmax、RUV比较,差异无统计学意义(P>0.05)。应用组并发症发生率为6.56%,低于对比组的19.67%,差异具有统计学意义(P<0.05)。结论前列腺增生症采用经尿道保留前列腺前叶等离子剜除术治疗效果确切,可促进患者尽早康复,值得借鉴和推广。

Objective To study the effect of transurethral plasmakinetic enucleation of the prostate with preservation of the anterior lobe in the treatment of benign prostatic hyperplasia.Methods A total of 122 patients with benign prostatic hyperplasia were divided into an application group and a control group according to the order of surgery,with 61 cases in each group.The control group underwent transurethral resection of prostate,and the application group underwent transurethral plasmakinetic enucleation of the prostate with preservation of the anterior lobe.Both groups were compared in terms of clinical related indexes(intraoperative blood loss,operative time,catheter indwelling time,hospitalization time),perioperative related indexes[glandular resection volume,international prostate symptom score(IPSS),maximum urinary flow rate(Qmax),residual urine volume(RUV)],and occurrence of complications.Results The operative time(53.67±16.58)min,catheter indwelling time(3.54±1.45)d and hospitalization time(5.78±1.22)d in the application group were significantly shorter than(76.25±22.17)min,(4.66±1.64)d and(7.69±1.47)d in the control group;the intraoperative blood loss(95.65±17.25)ml in the application group was less than(116.35±18.65)ml in the control group;the differences were statistically significant(P<0.05).The glandular resection volume(63.65±7.25)g in the application group was more than(45.35±3.65)g in the control group,and the difference was statistically significant(P<0.05).The differences were not statistically significant when comparing IPSS scores,Qmax,and RUV between the two groups(P>0.05).The incidence of complications in the application group was 6.56%,which was lower than 19.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Transurethral plasmakinetic enucleation of the prostate with preservation of the anterior lobe is effective in the treatment of benign prostatic hyperplasia,and can promote the early rehabilitation of patients,which is worthy of reference and promotion.