经尿道等离子前列腺剜除术与电切术治疗高危良性前列腺增生症的临床效果

Clinical effect of transurethral enucleation of the prostate and transurethral resection of the prostate in treating the high-risk benign prostatic hyperplasia

目的比较经尿道等离子前列腺剜除术(TUEP)与经尿道等离子电切术(TURP)治疗高危良性前列腺增生症的临床效果。方法选取2019年1月至2022年1月九江学院附属医院收治的60例高危良性前列腺增生症患者作为研究对象,采用随机数字表法分为对照组(30例)、试验组(30例)。对照组接受TURP治疗,试验组接受TUEP治疗。比较两组相关手术指标、术后并发症发生率及治疗前后前列腺症状评分(IPSS)、尿流动力学指标变化情况、术后复发情况。结果试验组患者的手术、住院尿管留置时间短于对照组,术中出血量低于对照组,前列腺切除重量低于对照组,差异有统计学意义(P<0.05)。治疗前两组患者的前列腺症状评分比较,差异无统计学意义(P>0.05),两组患者治疗后的评分低于治疗前,差异有统计学意义(P<0.05);治疗后,试验组患者的前列腺症状评分低于对照组,差异有统计学意义(P<0.05)。治疗前两组患者的最大尿流率、残余尿量水平比较,差异无统计学意义(P>0.05);治疗后两组患者的最大尿流率高于治疗前,残余尿量低于治疗前后,差异有统计学意义(P<0.05);治疗后试验组患者的最大尿流率高于对照组,残余尿量低于对照组,差异有统计学意义(P<0.05)。试验组患者的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。试验组患者的术后复发率低于对照组,差异有统计学意义(P<0.05)。结论对比TURP,TUEP在高危良性前列腺增生症的治疗效果更理想且创伤程度更低,建议临床采纳。

Objective To compare the clinical effectiveness of transurethral enucleation of the prostate(TUEP)and transurethral resection of the prostate(TURP)in treating the high-risk benign prostatic hyperplasia.Methods Sixty patients with high-risk benign prostatic hyperplasia admitted to the Affiliated Hospital of Jiujiang University from January 2019 to January 2022 were selected as the study objects,and were divided into control group(30 cases)and experimental group(30 cases)by random number table method.The control group received TURP treatment and the experimental group received TUEP treatment.The relevant surgical indexes,postoperative complication rate,prostatic symptom score(IPSS)before and after treatment,urinary flow dynamics indexes and postoperative recurrence were compared between the two groups.Results The duration of urinary catheter indentation during operation and hospitalization in experimental group were shorter than those in control group,the amount of intraoperative blood loss and the weight of prostate resection were lower than those in control group,and the differences were statistically significant(P<0.05).There was no statistical significance in the score of prostate symptoms between the two groups before treatment(P>0.05),and the score of the two groups after treatment was lower than before treatment,the difference was statistically significant(P<0.05).After treatment,the prostate symptom score of test group was lower than that of control group,and the difference was statistically significant(P<0.05).There were no(P>0.05).After treatment,the maximum urine flow rate was higher than before treatment,and the residual urine volume was lower than before and after treatment,with statistical significance(P<0.05).After treatment,the maximum urine flow rate of experimental group was higher than that of control group,and the residual urine volume was lower than that of control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).The postoperative recurrence rate of experimental group was lower than that of control group,the difference was statistically significant(P<0.05).Conclusion TUEP can effectively increase the treatment effectiveness and reduce the surgical trauma for high-risk benign prostatic hyperplasia patients.It shall be recommended in clinical surgery.