CAJ | 학술논문

目的：探讨经尿道双极等离子前列腺剜除术治疗前列腺增生的临床疗效。方法随机选择2013年1月-2014年11月该院接诊的100例前列腺增生患者进行研究。根据入院时间的先后顺序随机分为观察组和对照组。观察组50例患者，采用经尿道双极等离子前列腺剜除术。对照组50例患者，采用尿道等离子前列腺电切术。比较两组患者的手术时间、术中出血量、组织切除量、尿路狭窄例数、暂时性尿失禁例数、IPSS评分等各项指标。结果观察组的手术时间、术中出血量明显低于于对照组；观察组的组织切除量对于对照组，两组比较差异有统计学意义(P<0.05)；观察组的尿路狭窄例数、暂时性尿失禁例数、生活质量评分、IPSS评分、残余尿量、最大尿流率与对照组相比差异无统计学意义(P>0.05)。结论经尿道双极等离子前列腺剜除术治疗前列腺增生，能够减少手术时间、术中出血量及能更完整的切除组织，值得临床推广。
목적：탐토경뇨도쌍겁등리자전렬선완제술치료전렬선증생적림상료효。방법수궤선택2013년1월-2014년11월해원접진적100례전렬선증생환자진행연구。근거입원시간적선후순서수궤분위관찰조화대조조。관찰조50례환자，채용경뇨도쌍겁등리자전렬선완제술。대조조50례환자，채용뇨도등리자전렬선전절술。비교량조환자적수술시간、술중출혈량、조직절제량、뇨로협착례수、잠시성뇨실금례수、IPSS평분등각항지표。결과관찰조적수술시간、술중출혈량명현저우우대조조；관찰조적조직절제량대우대조조，량조비교차이유통계학의의(P<0.05)；관찰조적뇨로협착례수、잠시성뇨실금례수、생활질량평분、IPSS평분、잔여뇨량、최대뇨류솔여대조조상비차이무통계학의의(P>0.05)。결론경뇨도쌍겁등리자전렬선완제술치료전렬선증생，능구감소수술시간、술중출혈량급능경완정적절제조직，치득림상추엄。
Objective To investigate the clinical effect of transurethral bipolar plasmakinetic enucleation of prostate for the treat-ment of benign prostatic hyperplasia. Methods 100 cases of benign prostatic hyperplasia patients were selected in our hospital ad-missions from January,2013 to November,2014. According to the admission time order, they were randomly divided into the obser-vation group and control group. 50 patients in the observation group were given transurethral bipolar plasmakinetic enucleation of prostate; while 50 patients in the control group received bipolar plasmakinetic resection of prostate. The operation time, amount of bleeding during operation, tissue removal volume the number of cases of temporary urinary incontinence, quality of life score, IPSS score, et al were compared between the two groups. Results The operation time and amount of bleeding during operation of the observation group was significantly shorter than control group (P<0.05); observation group tissue removal volume for the control group, urinary tract stenosis cases; observation group number, the number of cases of temporary urinary incontinence, quality of life score, IPSS score, residual urine volume, maximum urine flow rate compared with the control group had no statistical signifi-cance(P>0.05). Conclusion Transurethral plasmakinetic enucleation of prostate in treatment of benign prostate hyperplasia, can re-duce the operation time, amount of bleeding and can be more complete resection of the organization,so it is worthy of clinical ap-plication.