中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
16期
73-75
,共3页
经尿道双极等离子前列腺剜除术%经尿道双极等离子前列腺电切术%良性前列腺增生症
經尿道雙極等離子前列腺剜除術%經尿道雙極等離子前列腺電切術%良性前列腺增生癥
경뇨도쌍겁등리자전렬선완제술%경뇨도쌍겁등리자전렬선전절술%량성전렬선증생증
Transurethral bipolar plasma prostatic enucleation%Transurethral bipolar plasma resection of the prostate%Benign prostatic hyperplasia
目的：探讨经尿道双极等离子前列腺剜除术与前列腺电切术治疗良性前列腺增生症的的临床效果。方法选取2012年5月~2014年3月来本院就诊的良性前列腺增生症患者100例，随机分为经尿道双极等离子前列腺剜除术组（剜除组）及经尿道双极等离子前列腺电切术组（电切组）各50例。观察两组手术时间、术中出血量等指标，记录术前、术后3个月国际前列腺症状评分（IPSS）、生活质量（QOL）评分、最大尿流率（Qmax）及并发症。结果剜除组手术时间、术中出血量、膀胱冲洗时间、尿管留置时间、术后住院时间均短于电切组（P<0.05）。两组术后3个月IPSS、QOL评分明显低于治疗前，Qmax明显增高，尤以剜除组效果为佳；且剜除组并发症率也较低（P<0.05）。结论经尿道双极等离子前列腺剜除术治疗良性前列腺增生症的临床效果显著，值得临床推广应用。
目的：探討經尿道雙極等離子前列腺剜除術與前列腺電切術治療良性前列腺增生癥的的臨床效果。方法選取2012年5月~2014年3月來本院就診的良性前列腺增生癥患者100例，隨機分為經尿道雙極等離子前列腺剜除術組（剜除組）及經尿道雙極等離子前列腺電切術組（電切組）各50例。觀察兩組手術時間、術中齣血量等指標，記錄術前、術後3箇月國際前列腺癥狀評分（IPSS）、生活質量（QOL）評分、最大尿流率（Qmax）及併髮癥。結果剜除組手術時間、術中齣血量、膀胱遲洗時間、尿管留置時間、術後住院時間均短于電切組（P<0.05）。兩組術後3箇月IPSS、QOL評分明顯低于治療前，Qmax明顯增高，尤以剜除組效果為佳；且剜除組併髮癥率也較低（P<0.05）。結論經尿道雙極等離子前列腺剜除術治療良性前列腺增生癥的臨床效果顯著，值得臨床推廣應用。
목적：탐토경뇨도쌍겁등리자전렬선완제술여전렬선전절술치료량성전렬선증생증적적림상효과。방법선취2012년5월~2014년3월래본원취진적량성전렬선증생증환자100례，수궤분위경뇨도쌍겁등리자전렬선완제술조（완제조）급경뇨도쌍겁등리자전렬선전절술조（전절조）각50례。관찰량조수술시간、술중출혈량등지표，기록술전、술후3개월국제전렬선증상평분（IPSS）、생활질량（QOL）평분、최대뇨류솔（Qmax）급병발증。결과완제조수술시간、술중출혈량、방광충세시간、뇨관류치시간、술후주원시간균단우전절조（P<0.05）。량조술후3개월IPSS、QOL평분명현저우치료전，Qmax명현증고，우이완제조효과위가；차완제조병발증솔야교저（P<0.05）。결론경뇨도쌍겁등리자전렬선완제술치료량성전렬선증생증적림상효과현저，치득림상추엄응용。
Objective To explore the clinical effect of transurethral bipolar plasma prostatic enucleation and resection of the prostate in the treatment of benign prostatic hyperplasia (BPH). Methods From May 2012 to March 2014,100 cases with BPH in our hospital were evenly divided into transurethral bipolar plasma prostatic enucleation group (enu-cleation group) and transurethral bipolar plasma resection of the prostate group (resection group) in random.The indexes of operation time,intraoperative amount of bleeding,international prostate symptom score (IPSS),quality of life (QOL) score,Qmax,and complication 3 months before and after surgeries were observed in the two groups. Results The operation time,intraoperative amount of bleeding,bladder irrigation time,catheter indwelling time,and postoperative hospital stay in the enucleation group were all shorter in comparison with those in the resection group (P<0.05).Scores of IPSS and QOL 3 months after surgery in the two groups were both lower than those before treatment.The Qmax greatly increased.All these changes in the enucleation group were better.The incidence of complications in the enucleation group was also lower (P<0.05). Conclusion Transurethral bipolar plasma prostatic enucleation in the treatment of BPH obtains a re-markable clinical effect,which is worthy of clinical application and expansion.
