中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
16期
14-16
,共3页
前列腺增生%良性%经尿道双极等离子电切术%前列腺电切术
前列腺增生%良性%經尿道雙極等離子電切術%前列腺電切術
전렬선증생%량성%경뇨도쌍겁등리자전절술%전렬선전절술
Prostate hyperplasia%Benign%Bipolar transurethral plasmakinetic resection of the prostate%Transurethral resection of prostate
探讨经尿道双极等离子电切术治疗良性前列腺增生的临床疗效。方法根据手术方式的不同将该院收治的良性前列腺增生200例患者分为观察组(137例)和对照组(63例)，观察组采用经尿道双极等离子电切术(PKRP)进行治疗，对照组采用经尿道前列腺电切术(TURP)进行治疗。结果观察组的手术时间、导管留置时间及术后膀胱冲洗时间均明显短于对照组差异有统计学意义(P<0.05)，术中出血量明显少于对照组差异有统计学意义(P<0.05)，术后并发症发生率明显低于对照组差异有统计学意义(P<0.05)，两组治疗后3个月的IPSS、QOL、MFR及RUV均优于治疗前差异有统计学意义(P<0.05)，但术后两组间比较差异无统计学意义(P>0.05)。结论采用经尿道双极等离子电切术治疗良性前列腺增生疗效显著，是一种安全性高、疗效确切、术后恢复快、并发症少的手术方法。
探討經尿道雙極等離子電切術治療良性前列腺增生的臨床療效。方法根據手術方式的不同將該院收治的良性前列腺增生200例患者分為觀察組(137例)和對照組(63例)，觀察組採用經尿道雙極等離子電切術(PKRP)進行治療，對照組採用經尿道前列腺電切術(TURP)進行治療。結果觀察組的手術時間、導管留置時間及術後膀胱遲洗時間均明顯短于對照組差異有統計學意義(P<0.05)，術中齣血量明顯少于對照組差異有統計學意義(P<0.05)，術後併髮癥髮生率明顯低于對照組差異有統計學意義(P<0.05)，兩組治療後3箇月的IPSS、QOL、MFR及RUV均優于治療前差異有統計學意義(P<0.05)，但術後兩組間比較差異無統計學意義(P>0.05)。結論採用經尿道雙極等離子電切術治療良性前列腺增生療效顯著，是一種安全性高、療效確切、術後恢複快、併髮癥少的手術方法。
탐토경뇨도쌍겁등리자전절술치료량성전렬선증생적림상료효。방법근거수술방식적불동장해원수치적량성전렬선증생200례환자분위관찰조(137례)화대조조(63례)，관찰조채용경뇨도쌍겁등리자전절술(PKRP)진행치료，대조조채용경뇨도전렬선전절술(TURP)진행치료。결과관찰조적수술시간、도관류치시간급술후방광충세시간균명현단우대조조차이유통계학의의(P<0.05)，술중출혈량명현소우대조조차이유통계학의의(P<0.05)，술후병발증발생솔명현저우대조조차이유통계학의의(P<0.05)，량조치료후3개월적IPSS、QOL、MFR급RUV균우우치료전차이유통계학의의(P<0.05)，단술후량조간비교차이무통계학의의(P>0.05)。결론채용경뇨도쌍겁등리자전절술치료량성전렬선증생료효현저，시일충안전성고、료효학절、술후회복쾌、병발증소적수술방법。
Objective To evaluate the clinical curative effect of bipolar transurethral plasmakinetic resection of the prostate on be-nign prostatic hyperplasia. Methods According to the different methods of operation, 200 cases of patients with benign prostatic hyperplasia treated in our hospital from November, 2010 to November, 2013 were divided into observation group (137 cases) and control group (63 cases). The patients of observation group were treated with bipolar transurethral plasmakinetic resection of the prostate (PKRP) and the patients of control group were treated with transurethral resection of prostate (TURP). Results The opera-tion time, catheter indwelling time and the postoperative irrigation time for bladder of the observation group were significantly shorter than those of the control group (P<0.05). The intraoperative blood loss of the observation group was significantly less than that of the control group (P<0.05), and the incidence of postoperative complications of the observation group was lower than that of the control group (P<0.05). The IPSS, QOL, MFR and RUV of the two groups 3 months after treatment were all better than those before treatment (P<0.05) with no statistical significance between the two groups (P>0.05). Conclusion The clinical curative effect of bipolar transurethral plasmakinetic resection of the prostate on benign prostatic hyperplasia is significant, which is a kind of op-eration with high safety, efficacy, and quick recovery and less complications.
