经尿道双极等离子电切手术应用于良性前列腺增生患者临床治疗中的具体效果探析

Analysis of the Specific Effects of Plasmakinetic Resection of the Prostale in the Clinical Treatment of Patients with Benign Prostatic Hyperplasia

目的分析经尿道双极等离子电切手术(PKRP)在良性前列腺增生(BPH)患者中的效果。方法选取2021年7月—2023年7月聊城市东昌府区中医院收治的82例BPH患者为研究对象。按随机数字表法将其分为对照组与观察组,各41例。对照组行经尿道前列腺电切术(TURP),观察组行PKRP。对比两组患者的围手术期指标、症状严重程度、勃起功能、尿流动力学及并发症发生情况。结果观察组术中出血量为(284.46±20.31)mL,少于对照组的(345.75±23.97)mL,手术时间为(65.41±6.21)min,留置尿管时间为(5.20±1.38)d,住院时间为(8.20±1.46)d,均短于对照组的(76.95±8.76)min、(6.31±1.59)d、(10.97±1.83)d,并发症发生率为4.88%,低于对照组的21.95%,组间差异有统计学意义(P<0.05)。术后3个月,观察组国际前列腺症状评分为(7.59±1.35)分,低于对照组的(10.61±1.87)分,国际勃起功能指数-5评分为(18.40±1.36)分,膀胱顺应性为(26.31±2.87)mL/cmH_(2)O、最大尿道闭合压为(43.68±4.33)cmH_(2)O,均高于对照组的(15.31±1.08)分、(20.48±2.36)mL/cmH_(2)O、(37.54±3.71)cmH_(2)O,最大尿流率为(19.83±3.20)mL/s,快于对照组的(15.41±2.39)mL/s,残余尿量为(31.34±4.37)mL,少于对照组的(38.63±5.25)mL,组间差异有统计学意义(P<0.05)。结论PKRP具有损伤小、术后恢复快优势,能够缓解BPH患者症状,对其勃起功能损伤较小,可改善其尿流动力学,且并发症少。

Objective To analyze the efficacy of plasmakinetic resection of the prostate(PKRP)in patients with benign prostatic hyperplasia(BPH).Methods A total of 82 BPH patients admitted to Dongchangfu District Hospital of Traditional Chinese Medicine in Liaocheng City from July 2021 to July 2023 were selected as the study objects.They were divided into a control group and an observation group according to random number table method,with 41 cases each.The control group underwent transurethral resection of prostate(TURP),and the observation group underwent PKRP.The perioperative indexes,severity of symptoms,erectile function,urodynamics and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(284.46±20.31)mL,less than(345.75±23.97)mL in the control group,the operative time was(65.41±6.21)min,the catheter indwelling time was(5.20±1.38)d,and the hospital stay was(8.20±1.46)d,which were shorter than(76.95±8.76)min,(6.31±1.59)d,(10.97±1.83)d of the control group,and the complication rate was 4.88%,which was lower than 21.95%of the control group,the differences were statistically significant(P<0.05).Three months after operation,the international prostate symptom score of the observation group was(7.59±1.35)points,which was lower than(10.61±1.87)points of the control group,and the international erectile function index-5 score was(18.40±1.36)points,the bladder compliance was(26.31±2.87)mL/cmH_(2)O,and the maximum urethral closure pressure was(43.68±4.33)cmH_(2)O,which were higher than(15.31±1.08)points,(20.48±2.36)mL/cmH_(2)O,(37.54±3.71)cmH_(2)O of the control group,the maximum urine flow rate was(19.83±3.20)mL/s,which was faster than(15.41±2.39)mL/s of the control group,and the residual urine volume was(31.34±4.37)mL,which was lower than(38.63±5.25)mL of the control group,with statistical significance(P<0.05).Conclusion PKRP has the advantages of minimal damage and fast postoperative recovery,which can alleviate symptoms in BPH patients,cause minimal damage to their erectile function,improve their urodynamics,and have fewer complications.