新疆伊犁地区维、哈、汉族良性前列腺增生患者前列腺等离子电切术疗效的比较

目的比较新疆伊犁地区维吾尔族、哈萨克族、汉族前列腺增生(BPH)患者等离子电切的疗效。方法研究695例新疆伊犁地区维吾尔族、哈萨克族、汉族行前列腺手术的患者,对患者前列腺的体积、国际前列腺症状(IPSS)评分、生活质量评分、尿流率、手术时间、术后恢复及并发症的发生情况进行比较研究。结果维、哈、汉族3组患者前列腺体积分别为(62±13)g、(65±16)g、(46±11)g,手术时间分别为(70±21)min、(75±16)min、(40±10)min,术前IPSS评分分别为(23.4±3.9)分、(22.8±3.1)分、(27.5±4.3)分,尿流率分别为(8.1±2.5)mL/s、(8.6±3.1)mL/s、(6.1±1.9)mL/s,生活质量评分分别为(3.5±1.2)分、(3.8±1.6)分、(4.5±0.8)分,通过统计分析,发现这些指标在汉族与维、哈族之间存在差异(P<0.05),维、哈族之间不存在差异(P>0.05);术中术后并发症、术后恢复指标各组没有明显差异(P>0.05)。结论新疆伊犁地区前列腺增生患者汉族与维、哈族之间存在差异,等离子电切在治疗各民族患者良性前列腺增生症中具有很好的疗效。

A comparison of transurethral plasmakinetic resection for BPH in Uygur, Kazakh and Han ethnic groups in Yili District of Xinjiang Province

Objective To compare the efficacy of transurethral plasmakinetic resection for patients with benign prostatic hyperplasia(BPH) in Uygur,Kazakh and Han ethnic groups in Yili District of Xinjiang Province.Methods 695 BPH patients in Uygur,Kazakh and Han ethnic groups were involved in this study.The size of prostate,IPSS score,QOF score,UFR,the length of operation,postoperative recovery and complications were compared.Results The size of prostate of Uygur,Kazakh and Han ethnic groups was(62±13)g,(65±16)g and(46±11)g.The time of operation was(70±21)min,(75±16)min and(40±10)min.The IPSS score was(23.4±3.9),(22.8±3.1) and(27.5±4.3).UFR was(8.1±2.5)mL/s,(8.6±3.1)mL/s,(6.1±1.9)mL/s.QOF score was(3.5±1.2),(3.8±1.6) and(4.5±0.8).As far as all the above indicators were concerned,there were differences between the Uygur,Kazakh and Han groups(P<0.05);whereas,there was no difference between the Uygur and Kazakh groups(P>0.05).There were no differences between the ethnic groups concerning complications and recovery index.Conclusions There are differences in BPH patients between Uygur,Kazakh and Han ethnic groups in Yili District of Xinjiang Province.Transurethral plasmakinetic resection has an excellent curative effect in the treatment of BPH patients in all these three nationalities.