双极等离子前列腺剜除术在前列腺增生患者中的应用效果

Application Effect of Bipolar Plasma Prostatic Enucleation in Patients with Prostatic hyperplasia

目的:探讨双极等离子前列腺剜除术在前列腺增生患者中的应用效果。方法:选取2020年6月—2023年6月西安唐城医院泌尿外科收治的前列腺增生患者60例为研究对象,随机分为对照组与研究组,各30例。对照组行双极等离子前列腺电切术治疗,研究组行双极等离子前列腺剜除术。比较两组治疗效果、手术相关指标、前列腺功能、并发症、性功能与生活质量。结果:研究组总有效率高于对照组,差异有统计学意义(P=0.044);研究组手术时间、膀胱冲洗时间、住院时间短于对照组,术中出血量少于对照组,切除组织质量轻于对照组,差异有统计学意义(P<0.001);术后,两组国际前列腺症状评分表评分、残余尿量降低,最大尿流量升高,研究组优于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P=0.044);术后,两组国际勃起功能问卷评分表与早泄患者性功能-5评分法评分升高,生活质量指数评分量表评分降低,研究组优于对照组,差异有统计学意义(P<0.05)。结论:与双极等离子前列腺电切术相比,双极等离子前列腺剜除术有助于改善前列腺增生患者前列腺功能、性功能与生活质量,缩短术后恢复时间,有效性及安全性均更高。

Objective:To investigate the effect of bipolar plasma prostatic enucleation in patients with prostatic hyperplasia.Methods:A total of 60 patients with prostate hyperplasia were selected as the study objects at the Department of Urology,Xi'an Tangcheng Hospital from June 2020 to June 2023,and were randomly divided into control group and observation group,with 30 cases in each group.The control group underwent bipolar plasma electroprostatectomy,and the observation group underwent bipolar plasma prostate enucleation.The therapeutic effect,surgical indexes,prostate function,complications,sexual function and quality of life were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P=0.044);the operation time,bladder irrigation time and hospital stay of the study group were shorter than those of the control group,the amount of intraoperative blood loss was less than that of the control group,and the weight of resected tissue was lighter than that of the control group,the differences were statistically significant(P<0.001);after surgery,the scores of international Prostatic Symptom Scale,residual urine volume decreased and maximum urine flow increased in the two groups,the observation group was better than the control group,the difference was statistically significant(P<0.05);the complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.044);after surgery,the scores of the International Erectile Function questionnaire and the sexual function-5 score of the patients with premature ejaculation increased in the two groups,and the scores of the quality of life index score scale decreased,the observation group was better than the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with bipolar plasma electroprostatectomy,bipolar plasma prostate enucleation can improve prostatic function,sexual function and quality of life in patients with prostatic hyperplasia,shorten postoperative recovery time,and is more effective and safe.