普通电切镜和等离子电切镜在前列腺增生手术治疗中的对比

Comparison of Ordinary and Plasma resectoscope in Surgical Treatment of Benign Prostatic Hyperplasia

目的 分析在前列腺增生手术患者的治疗过程中,对其采用普通电切镜和等离子电切镜治疗的临床应用效果。方法 选取2021年1月—2023年4月仪征市中医院外科60例进行手术治疗的前列腺增生患者作为研究观察对象,采用随机数字表法分为对照组及观察组,每组30例。对照组实施普通电切镜(奥林巴斯电切镜)治疗,观察组实施等离子电切镜(捷锐士等离子电切镜)治疗。对比两组患者的术中失血量、手术时间、尿管留置时间、术后住院时间、性功能变化以及并发症发生率。结果 手术时,观察组患者的术中失血量低于对照组患者,差异有统计学意义(P<0.05);观察组患者的手术时间短于对照组患者,差异有统计学意义(P<0.05);观察组患者的尿管留置时间、术后住院时间短于对照组患者,差异有统计学意义(P<0.05);观察组患者的勃起障碍、性欲下降、射精障碍发生率低于对照组患者,差异有统计学意义(P<0.05);观察组患者的并发症发生率低于对照组患者,差异有统计学意义(P<0.05)。结论 为前列腺增生患者实施等离子电切镜手术治疗,可有效缩短患者手术时间、减少并发症发生率,更快促进患者身体恢复,值得大力推广。

Objective To analyze clinical application effect of ordinary resectoscope and plasma resectoscope in treatment of patients with benign prostatic hyperplasia surgery.Methods The paper chose 60 patients with benign prostatic hyperplasia with surgical treatment in surgery department of Yizheng City Traditional Chinese Medicine Hospital from January 2021 to April 2023 for study and observation,and divided them into control group and observation group with random number table method,with 30 cases in each group.Control group was treated with regular resectoscope(Olympus resectoscope),while observation group with plasma resectoscope(gyrus-acmi plasma resectoscope).Intraoperative blood loss,surgical time,catheterization time,postoperative hospital stay,changes in sexual function,and incidence of complications were compared between two groups.Results During surgery,intraoperative blood loss in observation group was lower than control group,difference was statistically significant(P<0.05).Surgical time of observation group was shorter than control group,difference was statistically significant(P< 0.05).Duration of indwelling catheters and postoperative hospital stay in observation group was shorter than control group,difference was statistically significant(P<0.05).Incidence of erectile dysfunction,decreased libido,and ejaculatory dysfunction in observation group was lower than control group,difference was statistically significant(P<0.05).Incidence of complications in observation group was lower than control group,difference was statistically significant(P<0.05).Conclusion Plasma resectoscope surgery can effectively reduce surgical time,incidence of complications,and promote faster physical recovery of patients with benign prostatic hyperplasia,which is worthy of promotion greatly.