经尿道前列腺等离子双极电切术治疗良性前列腺增生患者的效果

Effects of transurethral plasmakinetic resection of prostate in treatment of patients with benign prostatic hyperplasia

目的:观察经尿道前列腺等离子双极电切术(TUPKP)治疗良性前列腺增生(BPH)患者的效果。方法:选取2021年2月至2023年2月该院收治的86例BPH患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各43例。对照组行经尿道前列腺电切术(TURP)治疗,观察组行TUPKP治疗。比较两组围术期指标(术中出血量、手术时间、住院时间)水平,手术前后尿动力学指标[最大尿流率(Qmax)、残余尿量(PVR)、膀胱顺应性(BC)]水平、性功能[国际勃起功能指数-5(IIEF-5)]评分,以及并发症发生率。结果:观察组术中出血量少于对照组,手术时间、住院时间短于对照组,差异均有统计学意义(P<0.05);术后3个月,观察组Qmax、BC水平高于对照组,PVR水平低于对照组,差异均有统计学意义(P<0.05);术后3个月,观察组IIEF-5评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.65%(2/43),低于对照组的20.93%(9/43),差异有统计学意义(P<0.05)。结论:TUPKP治疗BPH患者可改善围术期指标、尿动力学指标水平,提高性功能评分,降低并发症发生率,效果优于TURP治疗。

Objective:To observe effects of transurethral plasmakinetic resection of prostate(TUPKP)in treatment of patients with benign prostatic hyperplasia(BPH).Methods:A prospective study was conducted on 86 patients with BPH admitted to the hospital from February 2021 to February 2023.According to the random number table method,they were divided into control group and observation group,43 cases in each group.The control group was treated with transurethral resection of prostate(TURP),while the observation group was treated with TUPKP.The levels of perioperative indexes(intraoperative blood loss,operation time,hospitalization time)and urodynamic indexes[maximum urinary flow rate(Qmax),residual urine volume(PVR),bladder compliance(BC)],the sexual function[international index of erectile function-5(IIEF-5)]scores,and the incidence of complications were compared between the two groups before and after the surgery.Results:The intraoperative blood loss in the observation group was less than that in the control group,the operation time and the hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the levels of Qmax and BC in the observation group were higher than those in the control group,the level of PVR was lower than that in the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the IIEF-5 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.65%(2/43),which was lower than 20.93%(9/43)in the control group,and the difference was statistically significant(P<0.05).Conclusions:TUPKP in the treatment of the BPH patients can improve the perioperative indexes and urodynamic indexes levels,improve the sexual function scores,and reduce the incidence of complications.Moreover,it is superior to TURP treatment.