改良经尿道前列腺等离子剜除术和经尿道前列腺等离子切除术治疗中小体积前列腺增生的前瞻性随机对照研究

A Prospective Randomized Controlled Study of Modified Transurethral Plasma Kinetic Enucleation of the Prostate and Transurethral Plasma Resection of Prostate for the Treatment of Small and Medium Volume Benign Prostatic Hyperplasia

目的 比较中小体积前列腺增生患者分别采取改良经尿道前列腺等离子剜除术、经尿道前列腺等离子切除术的治疗效果。方法 随机选取2021年9月—2023年8月福建省龙岩市第二医院泌尿外科收治的100例前列腺增生患者为研究对象,根据不同手术方法分为对照组(经尿道等离子前列腺切除术)与研究组(改良经尿道等离子前列腺剜除术),各50例。比较两组的手术指标、国际前列腺症状评分、最大尿流率、并发症总发生率。结果 研究组手术时间、膀胱冲洗时间、留置尿管时间、住院时间均短于对照组,术中出血量低于对照组,切除腺体重量高于对照组,差异均有统计学意义(P均<0.05)。术前和术后,两组国际前列腺症状评分(International Prostate Symptom Score,IPSS)、最大尿流率对比,差异均无统计学意义(P均>0.05)。术后,两组IPSS评分和最大尿流率均优于术前,差异均有统计学意义(P均<0.05)。研究组并发症总发生率为10.00%(5/50),低于对照组的30.00%(15/50),差异有统计学意义(χ^(2)=6.250,P<0.05)。结论 中小体积前列腺增生采取改良经尿道前列腺等离子剜除术治疗,可以有效改善患者病情症状及尿流率,缩短患者恢复时间,降低并发症发生率,安全性高。

Objective The therapeutic effects of modified transurethral plasma kinetic enucleation of prostate and transurethral plasma resection of prostate were compared in patients with small and medium volume prostatic hyperplasia.Methods A total of 100 patients with benign prostatic hyperplasia admitted to the Department of Urology,Second Hospital of Longyan City,Fujian Province from September 2021 to August 2023 were randomly selected as the research objects.According to different surgical methods,they were divided into control group(transurethral plasma resection of prostate) and study group(modified transurethral plasma kinetic enucleation of prostate),with 50 cases in each group.The surgical indexes,international prostate symptom score,maximum urinary flow rate and complication rate were compared between the two groups.Results The operation time,bladder irrigation time,indwelling catheter time and hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was lower than that of the control group,and the resected gland weight was higher than that of the control group,the differences were statistically significant(all P<0.05).Before and after operation,there was no significant difference in International Prostate Symptom Score(IPSS) and maximum urinary flow rate between the two groups(all P>0.05).After operation,the IPSS score and maximum urinary flow rate of the two groups were better than those before operation,and the differences were statistically significant(both P<0.05).The total incidence of complications in the study group was 10.00%(5/50),which was lower than 30.00%(15/50) in the control group,and the difference was statistically significant(χ^(2)=6.250,P<0.05).Conclusion Modified transurethral plasma kinetic enucleation of prostate for the treatment of small and medium-sized prostatic hyperplasia can effectively improve the symptoms and urinary flow rate of patients,shorten the recovery time of patients,reduce the incidence of complications,and have high safety.