中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
3期
67-69
,共3页
等离子汽化电切术%经尿道电切术%高龄%前列腺增生
等離子汽化電切術%經尿道電切術%高齡%前列腺增生
등리자기화전절술%경뇨도전절술%고령%전렬선증생
Plasma transurethral resection%Transurethral resection%Elderly%Benign prostatic hyperplasia
目的：探讨经尿道等离子汽化电切术治疗高龄患者前列腺增生的临床效果。方法选取本院2012年1月~2014年5月收治的182例高龄前列腺增生患者，按照随机数字表法均分为对照组和观察组，对照组采用经尿道前列腺电切术，观察组采用经尿道等离子汽化电切术，比较两组患者的手术时间、术中出血量、术后膀胱冲洗时间和治疗前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(MFR)和剩余尿(PVR)的差异。结果观察组手术时间、术后膀胱冲洗时间短于对照组，术中出血血量显著少于对照组，差异有统计学意义(P<0.05)；治疗后两组患者的IPSS、QOL、MFR和PVR均较治疗前显著改善(P<0.05)，但两组间差异无统计学意义(P>0.05)。结论经尿道等离子汽化电切术治疗高龄患者前列腺增生效果确切，手术时间短，出血少。
目的：探討經尿道等離子汽化電切術治療高齡患者前列腺增生的臨床效果。方法選取本院2012年1月~2014年5月收治的182例高齡前列腺增生患者，按照隨機數字錶法均分為對照組和觀察組，對照組採用經尿道前列腺電切術，觀察組採用經尿道等離子汽化電切術，比較兩組患者的手術時間、術中齣血量、術後膀胱遲洗時間和治療前後國際前列腺癥狀評分(IPSS)、生活質量評分(QOL)、最大尿流率(MFR)和剩餘尿(PVR)的差異。結果觀察組手術時間、術後膀胱遲洗時間短于對照組，術中齣血血量顯著少于對照組，差異有統計學意義(P<0.05)；治療後兩組患者的IPSS、QOL、MFR和PVR均較治療前顯著改善(P<0.05)，但兩組間差異無統計學意義(P>0.05)。結論經尿道等離子汽化電切術治療高齡患者前列腺增生效果確切，手術時間短，齣血少。
목적：탐토경뇨도등리자기화전절술치료고령환자전렬선증생적림상효과。방법선취본원2012년1월~2014년5월수치적182례고령전렬선증생환자，안조수궤수자표법균분위대조조화관찰조，대조조채용경뇨도전렬선전절술，관찰조채용경뇨도등리자기화전절술，비교량조환자적수술시간、술중출혈량、술후방광충세시간화치료전후국제전렬선증상평분(IPSS)、생활질량평분(QOL)、최대뇨류솔(MFR)화잉여뇨(PVR)적차이。결과관찰조수술시간、술후방광충세시간단우대조조，술중출혈혈량현저소우대조조，차이유통계학의의(P<0.05)；치료후량조환자적IPSS、QOL、MFR화PVR균교치료전현저개선(P<0.05)，단량조간차이무통계학의의(P>0.05)。결론경뇨도등리자기화전절술치료고령환자전렬선증생효과학절，수술시간단，출혈소。
Objective To investigate the clinical efficacy of plasmakinetic energy transurethral resection in the treat-ment of elderly patients with benign prostatic hyperplasia. Methods 182 cases of elderly patients with benign prostatic hyperplasia in our hospital from January 2012 to May 2014 were selected,and were randomly divided into control group and observation group.The control group were treated with transurethral resection of prostate,the observation group were treated with plasmakinetic energy transurethral resection.The operative time,intraoperative blood loss,postoperative blad-der irrigation time,International prostate symptom score (IPSS),quality of life score (QOL),maximum flow rate (MFR) and residual urine (PVR) before and after treatment of two groups was compared. Results The operative time and postoper-ative bladder irrigation time of observation group was shorter than that of control group,intraoperative blood loss was less than that of control group,the difference was significant (P<0.05).After treatment,IPSS,QOL,MFR and PVR of two groups was improved compared with that before treatment (P<0.05),but there was no significant difference between the two groups (P>0.05). Conclusion Plasmakinetic energy transurethral resection for elderly patients with benign prostatic hyperplasia has exact effect,with shorter operative time and less bleeding.
