经尿道前列腺等离子双极电切术治疗良性前列腺增生患者的效果

Effects of transurethral plasmakinetic resection of prostate in treatment of patients with benign prostatic hyperplasia

目的:观察经尿道前列腺等离子双极电切术(TUPKP)治疗良性前列腺增生(BPH)患者的效果。方法:选取2019年1月至2021年12月该院收治的106例BPH患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各53例。对照组行经尿道前列腺电切术(TURP)治疗,观察组行TUPKP治疗,比较两组留置尿管时间、术后住院时间、国际前列腺症状(IPSS)评分、尿动力学指标[最大尿流率(Qmax)、最大尿意膀胱容量(VMCC)、残余尿量(PVR)]水平、性功能指标[国际勃起功能指数-5(IIEF-5)评分、勃起功能障碍率、逆行射精率]水平和并发症发生率。结果:观察组留置尿管时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05);术后6个月,观察组Qmax、VMCC水平和IIEF-5评分高于对照组,IPSS评分、PVR水平、勃起功能障碍率、逆行射精率低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为5.66%,低于对照组的20.75%,差异有统计学意义(P<0.05)。结论:TUPKP治疗BPH患者可缩短留置尿管时间和术后住院时间,降低IPSS评分和并发症发生率,以及改善尿动力学指标和性功能指标水平,效果优于TURP治疗。

Objective:To observe effects of transurethral plasmakinetic resection of prostate(TUPKP)in treatment of patients with benign prostatic hyperplasia(BPH).Methods:A prospective study was conducted on 106 BPH patients admitted to the hospital from January 2019 to December 2021.They were divided into observation group and control group according to the random number table method,53 cases in each.The control group was treated with transurethral resection of prostate(TURP),while the observation group was treated with TUPKP.The indwelling catheter time,the postoperative hospitalization time,the international prostate symptom(IPSS)score,the urodynamic index levels[maximum urinary flow rate(Qmax),maximum urinary bladder capacity(VMCC),residual urine volume(PVR)],the sexual function index levels[international erectile function index-5(IIEF5)score,erectile dysfunction rate,retrograde ejaculation rate],and the incidence of complications were compared between the two groups.Results:The indwelling catheter time and the postoperative hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).6 months after the surgery,the Qmax and VMCC level and the IIEF-5 score of the observation group were higher than those of the control group;the IPSS score,the PVR level,the erectile dysfunction rate and the retrograde ejaculation rate were lower than those of the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications of the observation group was 5.66%,which was lower than 20.75%in the control group,and the difference was statistically significant(P<0.05).Conclusions:TUPKP in the treatment of the BPH patients can shorten the indwelling catheter time and the postoperative hospitalization time,reduce the IPSS scores and the incidence of complications,and improve the levels of urodynamic indicators and the sexual function indexes.Moreover,it is superior to TURP treatment.