经尿道两种不同手术方式治疗高危良性BPH的效果比较

Comparison of the effects of two different transurethral surgical methods for high-risk BPH

目的:探讨经尿道两种不同手术方式治疗高危良性前列腺增生(BPH)效果比较。方法:回顾分析2021年6月至2023年6月我院收治108例高危BPH患者临床资料,依据手术方式不同分成电切组(n=42)与剜除组(n=66)。分析两组治疗效果。结果:剜除组手术、导管滞留及住院时间均短于电切组,术中出血量及剩余腺体质量少于电切组(P<0.05);剜除组国际前列腺症状评分、残余尿量、前列腺特异性抗原、前列腺素E2及睾酮水平低于电切组,最大尿流率水平、国际勃起功能问卷评分、早泄患者性功能-5评分法评分均高于电切组(P<0.05)。结论:对高危良性BPH患者采用经尿道前列腺等离子剜除术治疗效果更好。

Objective:To compare the effects of two different transurethral surgical methods for high-risk benign prostatic hyperplasia(BPH).Methods:The clinical data of 108 patients with high-risk BPH admitted to the hospital from June 2021 to June 2023 were analyzed retrospectively.According to different surgical methods,the patients were divided into resection group(n=42)and enucleation group(n=66).Therapeutic effects in the two groups were analyzed.Results:Surgical time,catheter indwelling time,hospital stay,intraoperative blood loss and residual gland mass of enucleation group were shorter/less than those of resection group(P<0.05).The International Prostate Symptom Score(IPSS),residual urine volume,prostate-specific antigen,prostaglandin E2 and testosterone levels in enucleation group were lower than those in resection group.The maximum flow rate,International Index of Erectile Function-5 score and Chinese Index of Premature Ejaculation-5 score were higher than those in resection group(P<0.05).Conclusion:Transurethral plasmakinetic enucleation of prostate is more effective to treat high-risk BPH.