前列腺增生症应用经尿道电切镜前列腺剜除术和电切术治疗的疗效比较

Comparison of curative effect of transurethral resection of prostate with resection of prostate in patients with prostatic hyperplasia

目的 研究前列腺增生症应用经尿道电切镜前列腺剜除术和电切术治疗的临床疗效。方法 选取2019年1月—2021年3月濮阳市人民医院收治的94例前列腺增生症患者,将采用经尿道等离子前列腺电切术开展治疗的47例作为对照组,将采用经尿道电切镜前列腺剜除术开展治疗47例作为观察组,详细记录两组患者的手术指标、术后最大尿流率与前列腺重量及术后3个月的并发症发生情况。结果 观察组患者的手术时间为(44.32±4.56)min,术中出血量为(60.22±23.37)mL,与对照组的(52.01±6.08)min和(95.12±28.35)mL比较均明显降低,差异有统计学意义(P<0.05);观察组术后尿管留置时间、膀胱冲洗时间、术后残余尿量以及住院时间均低于对照组,有统计学意义(t=6.9368,t=6.5121,t=12.5860,t=8.9259,t=7.1181,t=25.5625,P<0.05);而观察组的最大尿流率于对照组比较则明显增高(t=6.1641,P<0.05);观察组术后出血1例、膀胱痉挛1例,并发症发生率4.25%,对照组术后出血3例、尿失禁2例、膀胱痉挛3例,并发症发生率17.02%,观察组明显低于对照组(P<0.05)。结论 采用经尿道电切镜前列腺剜除术治疗前列腺增生症的效果更为理想,手术创伤性更小,术后并发症更少,患者术后恢复速度更快,建议临床积极推广应用。

Objective To study the clinical effect of transurethral resection of the prostate with enucleation and resection of the prostate in the treatment of prostatic hyperplasia.Methods A total of 94 patients with prostatic hyperplasia admitted to Puyang People’s Hospital from January 2019 to March 2021 were selected.47 patients treated with transurethral plasma resection of the prostate were selected as the control group, and 47 patients treated with transurethral resection of the prostate were selected as the observation group.The surgical parameters, postoperative maximum urinary flow rate and prostate weight, and the incidence of complications 3 months after surgery were recorded in detail in two groups.Results The operation time and intraoperative blood loss in observation group were(44.32±4.56) min and(60.22±23.37) mL,which were significantly lower than(52.01±6.08) min and(95.12±28.35) mL in control group, P<0.05.The postoperative catheter indwelling time, bladder irrigation time, postoperative residual urine volume and length of hospital stay in the observation group were significantly lower than those of the control group(t=6.9368,t=6.5121,t=12.5860,t=8.9259,t=7.1181,t=25.5625,P<0.05).The maximum urinary flow rate in the observation group was significantly higher than that in the control group(t=6.1641,P<0.05).In the control group, there were 3 cases of postoperative hemorrhage, 2 cases of urinary incontinence and 3 cases of bladder spasm, and the incidence of complications was 17.02%.In the observation group, there was 1 case of postoperative hemorrhage and 1 case of bladder spasm, and the incidence of complications was 4.25%,which was significantly lower than the control group(P<0.05).Conclusion Compared with resection of prostate, transurethral resection of prostate with enucleation of prostate is more effective in the treatment of prostatic hyperplasia, with less surgical trauma, less postoperative complications and faster postoperative recovery.Therefore, it is recommended to be actively promoted in clinical application.