摘要
目的比较前列腺等离子剜除术与前列腺等离子电切术治疗大体积前列腺增生的效果。方法选取昆明医科大学第二附属医院泌尿一病区2017年9月~2019年1月诊断为大体积前列腺增生(BPH)的患者100例,根据手术方法的不同,将行前列腺等离子电切术的患者作为电切组(50例),行前列腺等离子剜除术的患者作为剜除组(50例)。比较两组手术时间、术中出血量、前列腺切除体积、住院时间、术后膀胱冲洗时间、术后留置尿管时间及术后总并发症,两组患者术后6个月膀胱残余尿(PVR)、最大尿流率(Q-max)、国际前列腺症状评分(IPSS)、生活质量(QOL)评分和生存质量评分。结果剜除组手术时间、住院时间、术后膀胱冲洗时间、术后留置尿管时间等均短于电切组,术中出血量少于电切组,前列腺切除体积多于电切组,术后并发症总和少于电切组,差异有统计学意义(P<0.05);剜除组PVR、IPSS、QOL评分显著低于电切组,而Q-max显著高于电切组,差异有统计学意义(P<0.05);剜除组生存质量评分明显高于电切组,差异有统计学意义(P<0.05)。结论前列腺等离子剜除术在大体积前列腺增生治疗方面具有较好的临床效果,值得推广应用。
Objective To compare the efficacy of plasma prostatic enucleation and plasma prostatic electrotomy in the treatment of massive prostatic hyperplasia Methods A total of 100 patients diagnosed with mass prostatic hyperplasia(BPH)in the Ward One,Department of Urology,the Second Affiliated Hospital of Kunming Medical University from September 2017 to January 2019 were selected.According to the different surgical methods,the patients undergoing plasma resection of prostate were as the resection group(50 cases)and the patients undergoing plasma resection of prostate were as the enucleation group(50 cases).The surgical time,intraoperative blood loss,prostate resection volume,length of hospital stay,postoperative bladder irrigation time,indwelling urinary catheter time,and total postoperative complications,residual urine(PVR),maximum urine flow rate(Q-max),international prostate symptom score(IPSS),quality of life(QOL)score,and patient quality of life score were compared between the two groups.Results The operative time,hospitalization time,postoperative bladder flushing time and postoperative indwelling catheter time of the enucleation group were all shorter than those of the resection group,the intraoperative blood loss was less than that of the resection group,the prostate resection volume was more than that of the resection group,and the total postoperative complications were less than those of the resection group,with statistically significant differences(P<0.05).The PVR,IPSS and QOL score in the enucleation group were significantly lower than that in the resection group,while Q-max was significantly higher than that in the resection group,with statistically significant differences(P<0.05).The score of quality of life in the enucleation group was significantly higher than that in the resection group,and the difference was statistically significant(P<0.05).Conclusion Prostate plasma enucleation has good clinical effect in the treatment of large-volume prostatic hyperplasia,and it is worth popularizing and applying.
作者
熊波波
何浩欣
张劲松
王海峰
左毅刚
王剑松
XIONG Bobo;HE Haoxin;ZHANG Jinsong;WANG Haifeng;ZUO Yigang;WANG Jiansong(Ward One,Department of Urology,the Second Affiliated Hospital of Kunming Medical University,Yunnan Province,Kunming 650000,China;Department of Urology,Pu′er Simao District People′s Hospital,Yunnan Province,Pu′er 665000,China)
出处
《中国医药导报》
CAS
2020年第14期118-121,共4页
China Medical Herald
基金
国家自然科学基金资助项目(81660422)。
关键词
前列腺等离子剜除术
前列腺增生
大体积前列腺
微创手术
Prostate plasma enucleation
Benign prostatic hyperplasia
Large volume prostate
Minimally invasive surgery
