摘要
目的:探讨绿激光直出推铲式汽化术联合经尿道等离子电切术对老年良性前列腺增生(BPH)的治疗效果。方法:选取笔者所在医院2018年1月-2019年6月收诊的120例老年良性前列腺增生患者作为研究对象,将其随机分为参照组与研究组,每组60例。参照组行经尿道等离子电切术治疗,研究组先行绿激光直出推铲式汽化术联合经尿道等离子电切术治疗。比较两组临床指标、并发症发生情况、术后随访情况。结果:研究组手术时间长于参照组,差异有统计学意义(P<0.05)。研究组血钠下降值、输血率、血红蛋白下降值、留置导尿时间及术后住院时间均显著优于参照组,差异有统计学意义(P<0.05)。研究组并发症发生率显著低于参照组,差异有统计学意义(P<0.05)。两组拔管后24 h及术后3个月Qmax比较差异均无统计学意义(P>0.05)。两组术后3个月IPSS、QOL评分比较差异均无统计学意义(P>0.05)。结论:绿激光直出推铲式汽化术联合经尿道等离子电切术对老年良性前列腺增生治疗效果良好,有效减少术后并发症的发生,改善手术指标及预后,值得临床推广与应用。
Objective:To investigate the effect of green laser straight out push shovel vaporization combined with transurethral plasma electrotomy in the treatment of benign prostatic hyperplasia (BPH) in the elderly.Method:A total of 120 elderly patients with benign prostatic hyperplasia admitted in our hospital from January 2018 to June 2019 were selected as the research objects and were randomly divided into the reference group and the study group,with 60 patients in each group.The reference group was treated with transurethral plasma electrotomy,and the study group was treated with green laser straight out push shovel vaporization combined with transurethral plasma electrotomy.The clinical indicators,complications and postoperative follow-up were compared between the two groups.Result:The operation time of the study group was longer than that of the reference group,and the difference was statistically significant (P<0.05).The decreased values of serum sodium,blood transfusion rate,decreased values of hemoglobin,indwelling catheterization time and postoperative hospitalization time in the study group were significantly better than those in the reference group,the differences were statistically significant (P<0.05).The incidence of complications in the study group was significantly lower than that in the reference group,and the difference was statistically significant (P<0.05).There were no significant differences in Qmax between the two groups 24 h after extubation and 3 months after extubation (P>0.05).There were no statistically significant differences in IPSS and QOL scores between the two groups 3 months after surgery (P>0.05).Conclusion:Green laser straight out push shovel vaporization combined with transurethral plasma electrotomy is effective in the treatment of benign prostatic hyperplasia in the elderly.It can effectively reduce the incidence of postoperative complications and improve the surgical indicators and prognosis of patients,which is worth popularizing and applying widely.
作者
王涛
WANG Tao(Jianghan Oilfield General Hospital,Qianjiang 433100,China)
出处
《中外医学研究》
2020年第10期35-37,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
绿激光直出推铲式汽化术
经尿道等离子电切术
老年良性前列腺增生
Green laser straight out push shovel vaporization
Transurethral plasma electrotomy
Benign prostatic hyperplasia in the elderly
