前列腺增生手术治疗中经尿道等离子前列腺剜除术的应用效果研讨

Study on the Application Effect of Transurethral Plasma Prostate Enucleation in the Surgical Treatment of Prostatic Hyperplasia

杨旭 ¹刘滴 ¹杨长庆¹

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作者信息

1. 黔东南州人民医院泌尿外科,贵州凯里 556000
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摘要

目的分析前列腺增生手术治疗中经尿道等离子前列腺剜除术的应用效果.方法回顾性选取2019年1月—2024年1月黔东南州人民医院收治的106例前列腺增生患者为研究对象,根据患者的手术方案不同分为电切术组(经尿道等离子电切术治疗)与剜除术组(经尿道等离子前列腺剜除术治疗),各53例.比较两组患者指标恢复时间、前列腺症状评分、最大尿流率、性功能指标、并发症发生率.结果剜除术组手术时间(72.62±3.56)min、尿管留置时间(4.39±1.52)d、膀胱冲洗时间(14.52±2.62)min及住院时间(10.42±2.15)d均短于电切术组的(89.56±4.58)min、(6.18±2.45)d、(20.41±3.59)min、(12.52±2.44)d,差异有统计学意义(t=22.310、5.148、9.648、4.719,P均<0.001).两组并发症发生率对比,差异无统计学意义(P>0.05).治疗前,两组患者的前列腺症状评分、最大尿流率与性功能指标比较,差异无统计学意义(P均>0.05);治疗后,剜除术组的最大尿流率、性功能指标水平高于电切术组,前列腺症状评分低于电切术组,差异有统计学意义(P均<0.05).结论前列腺增生患者选择经尿道等离子前列腺剜除术可提升疗效,加速患者术后康复速度.

Abstract

Objective To analyze the application effect of transurethral plasma prostate enucleation in the surgical treatment of benign prostatic hyperplasia.Methods A total of 106 patients with benign prostatic hyper-plasia admitted to the Qiandongnan People's Hospital from January 2019 to January 2024 were retrospectively selected as the research objects.According to the different surgical plans of the patients,they were divided into resection group(transurethral plasmakinetic resection of the prostate)and enucleation group(transurethral plas-makinetic enucleation of the prostate),with 53 cases in each group.The index recovery time,prostate symptom score,maximum urinary flow rate,sexual function index,and incidence of complications were compared be-tween the two groups.Results The operation time(72.62±3.56)min,urinary catheter indwelling time(4.39±1.52)d,bladder irrigation time(14.52±2.62)min and hospitalization time(10.42±2.15)d in the enucleation group were shorter than those in the resection group[(89.56±4.58)min,(6.18±2.45)d,(20.41±3.59)min and(12.52±2.44)d],and the differences were statistically significant(t=22.310,5.148,9.648,4.719,all P<0.001).There was no significant difference in the incidence of complications between the two groups(P>0.05).Before treatment,there were no statistically significant differences in prostate symptom score,maximum urinary flow rate and sexual function between the two groups(all P>0.05).After treatment,the maximum urinary flow rate and sexual function index in the enucleation group were higher than those in the resection group,and the pros-tate symptom score was lower than that in the resection group,and the differences were statistically significant(all P<0.05).Conclusion Transurethral plasma enucleation of the prostate in patients with prostatic hyperplasia can improve the curative effect and accelerate the recovery of patients after surgery.

关键词

前列腺增生/经尿道等离子前列腺剜除术/电切术/治疗效果

Key words

Prostatic hyperplasia/Transurethral plasma enucleation of the prostate/Electrodissection/therapeutic effect

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出版年

2024

世界复合医学

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