摘要
目的:观察良性前列腺增生的患者实施经尿道等离子双极电切术治疗的效果及其并发症发生情况。方法:选取2016年6月-2017年5月笔者所在医院外科收治的良性前列腺增生的130例患者作为研究资料,按照床位单双号将其分为两组,参照组(n=65)手术方式为经尿道前列腺电切术(TURP),研究组(n=65)则采取经尿道等离子双极电切术(PKRP),观察分析不同手术方法治疗后的生活质量评分(QOL)、国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(RUV)等临床指标和常见并发症(切口感染、暂时性尿失禁、尿潴留、术后出血等)的发生情况。结果:术后研究组患者的QOL评分明显高于参照组,IPSS评分明显低于参照组,Qmax明显大于参照组,RUV明显小于参照组,比较差异均有统计学意义(P<0.05);研究组并发症发生率为7.69%,显著低于参照组的20.00%,比较差异有统计学意义(P<0.05)。结论:两种方法治疗良性前列腺增生均有较好的效果,而经尿道等离子双极电切术并发症较少,安全性更高,具有推广应用的价值。
Objective：To observe the effect of transurethral plasma bipolar resection in patients with benign prostatic hyperplasia and its complications.Method：From June 2016 to May 2017,a total of 130 patients with benign prostatic hyperplasia surgically treated in the author＇s hospital were selected as the study objects and were divided into two groups according to the bed single double number.The reference group（n=65） underwent transurethral resection of prostate（TURP） and the study group（n=65） received transurethral plasma bipolar resection（PKRP）.The clinical effects of quality of life（QOL）,International Prostate Symptom Score（IPSS）,maximum urinary flow rate（Qmax）,residual urine volume（RUV）,and the occurrence of common complications（incision infection,temporary urinary incontinence,urinary retention,postoperative bleeding,etc.） were observed and analyzed after the treatment of different surgical methods.Result：After the operation,the QOL score of the patients in the study group was significantly higher than that in the reference group,the IPSS score was significantly lower than the reference group,Qmax was significantly larger than the reference group,and RUV was significantly smaller than the reference group,the differences were statistically significant（P〈0.05）.The incidence of complications in the study group was 7.69%,significantly lower than that in the reference group,the difference was statistically significant（P〈0.05）.Conclusion：Both methods have good effects in the treatment of benign prostatic hyperplasia,and transurethral plasmakinetic bipolar resection has fewer complications and higher safety,and has the value of popularization and application.
作者
罗玮
叶剑锋
LUO Wei,YE Jianfeng(Daye People’s Hospital, Daye 435100, Chin)
出处
《中外医学研究》
2018年第16期26-27,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
经尿道前列腺电切术
经尿道等离子双极电切术
良性前列腺增生
安全性
Transurethral resection of the prostate
Transurethral plasma kinetic resection of prostate
Benign prostatic hyperplasia
Safety
