中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
23期
27-29,32
,共4页
良性前列腺增生%经尿道等离子双极电切术%开放性手术
良性前列腺增生%經尿道等離子雙極電切術%開放性手術
량성전렬선증생%경뇨도등리자쌍겁전절술%개방성수술
Benign prostatic hyperplasia (BPH)%Transurethral plasmakinetic prostatectomy (TUPKP)%Open operation
目的：探讨经尿道等离子双极电切术治疗良性前列腺增生的临床效果。方法选择经尿道等离子双极电切术治疗的良性前列腺增生症38例患者为观察组,选择同期38例采用开放式手术的患者为对照组,比较两组患者的手术情况、术后康复情况、并发症发生情况、手术前后国际前列腺症状评分(IPSS)、残余尿量(RU)、最大尿流率(Qmax)。结果观察组患者的手术时间[(45.5±10.1) min]明显短于对照组[(88.6±12.7) min)；术中出血量[(110.0±12.4)ml]明显少于对照组[(200.0±18.6)ml)]；切除腺体重量[(42.6±7.3)g]少于对照组[(53.4±10.1)g]。观察组的下床活动时间[(8.0±1.5)d]短于对照组[(15.0±2.1)d]；观察组出现并发症11例,少于对照组的29例,差异均有统计学意义(P<0.05)；经过术后随访发现,观察组患者手术前后的IPSS降低到(7.9±2.6)分,明显低于对照组的(11.6±2.2)分；RU降低到(30.0±11.6)ml,少于对照组的(34.0±10.5)ml、Qmax增加到(20.2±4.2)ml高于对照组的(15.8±3.7)ml,差异均有统计学意义(P<0.05)。结论经尿道等离子双极电切术治疗前列腺增生手术时间短、创伤小、腺体切除彻底、并发症少、安全性高,具有良好的临床治疗效果。
目的：探討經尿道等離子雙極電切術治療良性前列腺增生的臨床效果。方法選擇經尿道等離子雙極電切術治療的良性前列腺增生癥38例患者為觀察組,選擇同期38例採用開放式手術的患者為對照組,比較兩組患者的手術情況、術後康複情況、併髮癥髮生情況、手術前後國際前列腺癥狀評分(IPSS)、殘餘尿量(RU)、最大尿流率(Qmax)。結果觀察組患者的手術時間[(45.5±10.1) min]明顯短于對照組[(88.6±12.7) min)；術中齣血量[(110.0±12.4)ml]明顯少于對照組[(200.0±18.6)ml)]；切除腺體重量[(42.6±7.3)g]少于對照組[(53.4±10.1)g]。觀察組的下床活動時間[(8.0±1.5)d]短于對照組[(15.0±2.1)d]；觀察組齣現併髮癥11例,少于對照組的29例,差異均有統計學意義(P<0.05)；經過術後隨訪髮現,觀察組患者手術前後的IPSS降低到(7.9±2.6)分,明顯低于對照組的(11.6±2.2)分；RU降低到(30.0±11.6)ml,少于對照組的(34.0±10.5)ml、Qmax增加到(20.2±4.2)ml高于對照組的(15.8±3.7)ml,差異均有統計學意義(P<0.05)。結論經尿道等離子雙極電切術治療前列腺增生手術時間短、創傷小、腺體切除徹底、併髮癥少、安全性高,具有良好的臨床治療效果。
목적：탐토경뇨도등리자쌍겁전절술치료량성전렬선증생적림상효과。방법선택경뇨도등리자쌍겁전절술치료적량성전렬선증생증38례환자위관찰조,선택동기38례채용개방식수술적환자위대조조,비교량조환자적수술정황、술후강복정황、병발증발생정황、수술전후국제전렬선증상평분(IPSS)、잔여뇨량(RU)、최대뇨류솔(Qmax)。결과관찰조환자적수술시간[(45.5±10.1) min]명현단우대조조[(88.6±12.7) min)；술중출혈량[(110.0±12.4)ml]명현소우대조조[(200.0±18.6)ml)]；절제선체중량[(42.6±7.3)g]소우대조조[(53.4±10.1)g]。관찰조적하상활동시간[(8.0±1.5)d]단우대조조[(15.0±2.1)d]；관찰조출현병발증11례,소우대조조적29례,차이균유통계학의의(P<0.05)；경과술후수방발현,관찰조환자수술전후적IPSS강저도(7.9±2.6)분,명현저우대조조적(11.6±2.2)분；RU강저도(30.0±11.6)ml,소우대조조적(34.0±10.5)ml、Qmax증가도(20.2±4.2)ml고우대조조적(15.8±3.7)ml,차이균유통계학의의(P<0.05)。결론경뇨도등리자쌍겁전절술치료전렬선증생수술시간단、창상소、선체절제철저、병발증소、안전성고,구유량호적림상치료효과。
Objective To explore the clinical effect of of transurethral plasmakinetic prostatectomy in the treatment of benign prostatic hyperplasia. Methods Thirty-eight patients who underwent TUPKP for BPH were selected as observa-tion group,and another 38 BPH patients treated by open operation in the same period was classified into control group. The operation,postoperative rehabilitation,and complication as well as values of international prostate symptom score (IPSS),residual urine volume (RU),and Qmax before and after surgery were compared. Results The operation time in the observation group lasted (45.5±10.1) min,obviously shorter than that in the control group [(88.6±12.7) min].The intraop-erative amount of bleeding in the observation group was (110.0±12.4) ml,which was less than that in the control group [(200.0±18.6) ml].The weight of removed gland in the observation group and control group was (42.6±7.3) g and (53.4±10.1) g respectively,and the former was lower.The time of being off bed in the observation group was (8.0±1.5) d,which was earlier than that in the control group [(15.0±2.1) d].In the observation group,there were 11 cases with complica-tions,while in the control group,there was 29 ones,which displayed statistical difference (P<0.05).After postoperative fol-low-up visits,the value of IPSS decreased to (7.9±2.6) points,lower than (11.6±2.2) points in the control group.The RU reduced to (30.0±11.6) ml in the observation group less than (34.0±10.5) ml in the control group.The Qmax rose to (20.2±4.2) ml higher than that in the control group [(15.8±3.7) ml].The indexes mentioned above all displayed statistical differences in both groups (P<0.05). Conclusion In the treatment of BPH,TUPKP has advantages of short operation time, little wound,thorough removal of gland,few complications,and high safety and obtains a good clinical therapeutic effect.
