前列腺等离子剜除术在基层医院中的应用探讨

Application of Prostate Plasma Enucleation in Primary Hospital

目的:探讨经尿道前列腺等离子剜除术在基层医院的应用。方法:选择2020年1月至2023年1月我院收治的80例良性前列腺增生患者,其中传统前列腺电切术和等离子剜除术各40例,观察两组患者手术时间、术中出血量、留置导尿时间、术后住院时间和术后症状改善等指标。结果:10例剜除患者中转电切,剜除组与电切组的手术时间无明显差异,但术中出血量、留置导尿时间、术后住院时间和术后下尿路症状改善均明显优于电切组,差异有统计学意义(P<0.05)。结论:前列腺等离子剜除术具有彻底切除腺体组织、术后并发症少、安全性高等优点,在基层医院中值得推广前列腺等离子剜除术。

Objective:To explore the application of transurethral plasma enucleation of prostate(TUPEP)in the treatment of benign prostatic hyperplasia in grassroots hospitals.Methods:80 patients with benign prostatic hyperplasia admitted to our hospital from January 2020 to January 2023 were selected,including 40 cases each of traditional prostate electrodesis and plasma enucleation,the operative time,intraoperative bleeding,indwelling catheterization,post-operative hospitalization time and improvement of postoperative lower urinary tract symptomswere observed in both groups.Results:10 enucleated patients were transferred to electrodesiccation,and the operative time of the enucleated group was not significantly different from that of the electrodesiccated group,but the intraoperative bleeding,indwelling catheterization time,postoperative hospital stay and improvement of postoperative lower urinary tract symptoms were significantly better than those of the electrodesiccated group,and the difference was statistically significant(<0.05).Conclusion:Prostate plasma enucleation has the advantages of complete removal of glandular tissue,few postoperative complications and high safety,and it is worth promoting prostate plasma enucleation in grassroots hospital.