医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
20期
2727-2729
,共3页
良性前列腺增生症%经尿道前列腺等离子双极电切术%经尿道前列腺电切术%效果
良性前列腺增生癥%經尿道前列腺等離子雙極電切術%經尿道前列腺電切術%效果
량성전렬선증생증%경뇨도전렬선등리자쌍겁전절술%경뇨도전렬선전절술%효과
Benign prostatic hyperplasia%Bipolar plasmakinetic transurethral resection of prostate%Transurethral re-section of the prostate%Effects
目的：探讨经尿道前列腺等离子双极电切术（PKRP）治疗良性前列腺增生症（BPH）的临床效果。方法：选择2013年10月－2015年2月60例 BPH 患者，随机分为研究组和对照组各30例，研究组实施 PKRP ，对照组采用经尿道前列腺电切术（TURP）。记录两组术中出血量、手术时间、术后膀胱持续冲洗时间和住院时间，比较两组治疗前、治疗3个月后国际前列腺症状（IPSS）评分、最大尿流率（Qmax ）和生活质量（QOL ）评分，观察两组不良反应。结果：研究组术中出血量、手术时间、术后膀胱持续冲洗时间和住院时间明显少于对照组（P＜0．05）。治疗前，两组 IPSS 评分、Qmax 、QOL 比较差异无统计学意义（P＞0．05），治疗后研究组 IPSS 评分、QOL 显著低于对照组（P ＜0．05），而 Qmax 明显高于对照组（P＜0．05）。研究组并发症发生率为10．00％，明显低于对照组的33．33％（P＜0．05）。结论：PKRP 治疗 BPH 临床疗效好，术后并发症少。
目的：探討經尿道前列腺等離子雙極電切術（PKRP）治療良性前列腺增生癥（BPH）的臨床效果。方法：選擇2013年10月－2015年2月60例 BPH 患者，隨機分為研究組和對照組各30例，研究組實施 PKRP ，對照組採用經尿道前列腺電切術（TURP）。記錄兩組術中齣血量、手術時間、術後膀胱持續遲洗時間和住院時間，比較兩組治療前、治療3箇月後國際前列腺癥狀（IPSS）評分、最大尿流率（Qmax ）和生活質量（QOL ）評分，觀察兩組不良反應。結果：研究組術中齣血量、手術時間、術後膀胱持續遲洗時間和住院時間明顯少于對照組（P＜0．05）。治療前，兩組 IPSS 評分、Qmax 、QOL 比較差異無統計學意義（P＞0．05），治療後研究組 IPSS 評分、QOL 顯著低于對照組（P ＜0．05），而 Qmax 明顯高于對照組（P＜0．05）。研究組併髮癥髮生率為10．00％，明顯低于對照組的33．33％（P＜0．05）。結論：PKRP 治療 BPH 臨床療效好，術後併髮癥少。
목적：탐토경뇨도전렬선등리자쌍겁전절술（PKRP）치료량성전렬선증생증（BPH）적림상효과。방법：선택2013년10월－2015년2월60례 BPH 환자，수궤분위연구조화대조조각30례，연구조실시 PKRP ，대조조채용경뇨도전렬선전절술（TURP）。기록량조술중출혈량、수술시간、술후방광지속충세시간화주원시간，비교량조치료전、치료3개월후국제전렬선증상（IPSS）평분、최대뇨류솔（Qmax ）화생활질량（QOL ）평분，관찰량조불량반응。결과：연구조술중출혈량、수술시간、술후방광지속충세시간화주원시간명현소우대조조（P＜0．05）。치료전，량조 IPSS 평분、Qmax 、QOL 비교차이무통계학의의（P＞0．05），치료후연구조 IPSS 평분、QOL 현저저우대조조（P ＜0．05），이 Qmax 명현고우대조조（P＜0．05）。연구조병발증발생솔위10．00％，명현저우대조조적33．33％（P＜0．05）。결론：PKRP 치료 BPH 림상료효호，술후병발증소。
Objective :To evaluate the effects of bipolar plasmakinetic transurethral resection of prostate in the treat ‐ment of benign prostatic hyperplasia .Methods :60 cases of BPH ,selected from October 2013 to February 2015 ,were randomly divided into the study group and the control group with 30 patients in each group .The study group was given the treatment of PKRP(bipolar Plasmakinetic transurethral resection of prostate ) ,the control group received TURP (transurethral resection of the prostate) .Blood loss ,operative time ,postoperative bladder wash time and hospital stay were recorded ,the International Prostate Symptom (IPSS )score ,maximal urinary flow rate (Qmax ) and quality of life (QOL)score were compared before treatment and after postoperative three months ,and adverse reactions were ob‐served in two groups .Results :Blood loss ,operative time ,postoperative bladder wash time and hospital stay in the study group were significantly less than those in the control group (P< 0 .05) .There were not statistically significant differ‐ence in IPSS score ,Qmax ,QOL in two groups before treatment (P> 0 .05) ,after treatment ,IPSS score ,QOL in the study group were significantly lower than those in the control group (P< 0 .05) ,but Qmax was significantly higher than that in the control group(P< 0 .05) .The complication rate in the study group was 10 .00% ,which was significantly lower than that(33 .33% ) in the control group(P< 0 .05) .Conclusion :PKRP had significant clinical efficacy for treatment of BPH with fewer postoperative complications .
