经尿道等离子双极电切术治疗良性前列腺增生的临床效果

目的：探讨经尿道等离子双极电切术治疗良性前列腺增生的临床效果。方法选择经尿道等离子双极电切术治疗的良性前列腺增生症38例患者为观察组,选择同期38例采用开放式手术的患者为对照组,比较两组患者的手术情况、术后康复情况、并发症发生情况、手术前后国际前列腺症状评分（IPSS）、残余尿量（RU）、最大尿流率（Qmax）。结果观察组患者的手术时间（45.5±10.1） min]明显短于对照组（88.6±12.7） min）；术中出血量（110.0±12.4）ml]明显少于对照组（200.0±18.6）ml）]；切除腺体重量（42.6±7.3）g]少于对照组（53.4±10.1）g]。观察组的下床活动时间（8.0±1.5）d]短于对照组（15.0±2.1）d]；观察组出现并发症11例,少于对照组的29例,差异均有统计学意义（P〈0.05）；经过术后随访发现,观察组患者手术前后的IPSS降低到（7.9±2.6）分,明显低于对照组的（11.6±2.2）分；RU降低到（30.0±11.6）ml,少于对照组的（34.0±10.5）ml、Qmax增加到（20.2±4.2）ml高于对照组的（15.8±3.7）ml,差异均有统计学意义（P〈0.05）。结论经尿道等离子双极电切术治疗前列腺增生手术时间短、创伤小、腺体切除彻底、并发症少、安全性高,具有良好的临床治疗效果。

Clinical effect of transurethral plasmakinetic prostatectomy in the treat-ment of benign prostatic hyperplasia

Objective To explore the clinical effect of of transurethral plasmakinetic prostatectomy in the treatment of benign prostatic hyperplasia. Methods Thirty-eight patients who underwent TUPKP for BPH were selected as observation group,and another 38 BPH patients treated by open operation in the same period was classified into control group. The operation,postoperative rehabilitation,and complication as well as values of international prostate symptom score （IPSS）,residual urine volume （RU）,and Qmax before and after surgery were compared. Results The operation time in the observation group lasted （45.5±10.1） min,obviously shorter than that in the control group （88.6±12.7） min].The intraoperative amount of bleeding in the observation group was （110.0±12.4） ml,which was less than that in the control group （200.0±18.6） ml].The weight of removed gland in the observation group and control group was （42.6±7.3） g and （53.4±10.1） g respectively,and the former was lower.The time of being off bed in the observation group was （8.0±1.5） d,which was earlier than that in the control group （15.0±2.1） d].In the observation group,there were 11 cases with complications,while in the control group,there was 29 ones,which displayed statistical difference （P〈0.05）.After postoperative follow-up visits,the value of IPSS decreased to （7.9±2.6） points,lower than （11.6±2.2） points in the control group.The RU reduced to （30.0±11.6） ml in the observation group less than （34.0±10.5） ml in the control group.The Qmax rose to （20.2±4.2） ml higher than that in the control group （15.8±3.7） ml].The indexes mentioned above all displayed statistical differences in both groups （P〈0.05）. Conclusion In the treatment of BPH,TUPKP has advantages of short operation time, little wound,thorough removal of gland,few complications,and high safety and obtains a good clinical therapeutic effect.