CAJ | 학술논문

目的探讨经尿道前列腺等离子双极电切术治疗高危良性前列腺增生临床疗效和安全性.方法运用随机数字表法将2010年1月至2012年10月106例良性前列腺增生患者分为A组和B组,每组各53例.B组患者行经尿道前列腺电切术治疗,A组患者采用经尿道前列腺等离子双极电切术治疗,比较两组患者各项临床指标.结果 A组患者在手术所用时间、术中出血量、膀胱冲洗时间、经尿道前列腺电切术综合征、暂时性尿失禁、勃起功能障碍和尿道狭窄方面均少于B组患者,差异有统计学意义(P<0.05).治疗后,两组患者在最大尿流率、国际前列腺症状评分表评分和生活质量评分方面均优于入组时,差异有统计学意义(P>0.05).结论经尿道前列腺等离子双极电切术治疗良性前列腺增生患者临床疗效与经尿道前列腺电切术治疗方案相当,不仅具有手术所用时间短、术中出血量少、膀胱冲洗时间短、患者术后并发症少等优点,而且还能够明显提高患者的生活质量,改善患者的预后,值得进一步推广.
목적탐토경뇨도전렬선등리자쌍겁전절술치료고위량성전렬선증생림상료효화안전성.방법운용수궤수자표법장2010년1월지2012년10월106례량성전렬선증생환자분위A조화B조,매조각53례.B조환자행경뇨도전렬선전절술치료,A조환자채용경뇨도전렬선등리자쌍겁전절술치료,비교량조환자각항림상지표.결과 A조환자재수술소용시간、술중출혈량、방광충세시간、경뇨도전렬선전절술종합정、잠시성뇨실금、발기공능장애화뇨도협착방면균소우B조환자,차이유통계학의의(P<0.05).치료후,량조환자재최대뇨류솔、국제전렬선증상평분표평분화생활질량평분방면균우우입조시,차이유통계학의의(P>0.05).결론경뇨도전렬선등리자쌍겁전절술치료량성전렬선증생환자림상료효여경뇨도전렬선전절술치료방안상당,불부구유수술소용시간단、술중출혈량소、방광충세시간단、환자술후병발증소등우점,이차환능구명현제고환자적생활질량,개선환자적예후,치득진일보추엄.
Objective To investigate the clinical efficacy and safety of the treating the benign prostatic hyperplasia of high risk by the transurethral bipolar plasma kinetic resection of the prostate. Methods One hundred and six patients with the benign prostatic hyperplasia who were treated in the department of urinary surgery in our hospital from January 2010 to October 2012 were divided into group A(cases=53)and group B(cases=53)by random number table,patients in group A was given the transurethral resection of prostate,but patients in group B was given the bipolar plasma kinetic resection of the prostate, the various clinical indicators of two groups were evaluated. Results The operation time,the intraoperatve blood soss, bladder irrigation time,the rate of resectoscope electrotomy syndrome,the rate of temporary incontinence,the rate of erectile dysfunction and urethral stricture in group B were lower than that in group A(P<0.05),the maximum urinary flow rate, international prostate symptom score scale and the quality of life score after treatment were higher than that at the beginning (P<0.05).Conclusion The clinical efficacy and safety of treating benign prostatic hyperplasia of high risk by the transurethral bipolar plasma kinetic resection of the prostate can obtain satisfactory curative effect,it is not only shorter operation time,less intraoperatve blood soss,less bladder irrigation time and less postoperative complications,but also can obviously improve the patient's quality of life and the prognosis of patients.it is worthy of clinical application .