朱建坦 初銘彥 丁軍平 趙書斌



【摘要】目的:探討老年高危前列腺增生患者中經尿道前列腺等離子雙極汽化電切術的應用效果。方法:隨機選取2012年8月至2015年8月我院收治的112例老年高危前列腺增生患者,依據隨機數字表法將這些患者分為兩組,即研究組(n=56)和對照組(n=56)。給予對照組患者經尿道前列腺電切術治療,給予研究組患者經尿道前列腺等離子雙極汽化電切術治療。結果:和對照組相比,研究組患者的手術時間、術后膀胱沖洗時間均顯著較短(P<0.05),術中出血量顯著較少(P<0.05);組內比較,兩組患者治療后的IPSS、PVR、QOL均顯著低于治療前(P<0.05),MFR均顯著高于治療前(P<0.05);研究組患者的術后并發癥發生率5.4%(3/56)顯著低于對照組17.9%(10/56)(P<0.05)。結論:經尿道前列腺等離子雙極汽化電切術在老年高危前列腺增生患者中的應用效果較好,值得推廣。
【關鍵詞】老年高危前列腺增生患者;經尿道前列腺等離子雙極汽化電切術;應用
Clinical observation of plasma bipolar transurethral transurethral resection in the treatment of high-risk elderly patients with benign prostatic hyperplasiaZHU Jiantan, CHU Mingyan, DING Junping, ZHAO Shubin. Department of Urology,Liuzhou Railway Central Hospital of Liuzhou City, Liuzhou 545007, Guangxi, China
【Abstract】Objectives: To investigate the application effect of plasma bipolar transurethral transurethral resection in high-risk elderly patients with benign prostatic hyperplasia. Methods: 112 elderly patients with high-risk benign prostatic hyperplasia in our hospital from August 2012 to August 2015 were randomly selected and divided into two groups according to the random number table, the study group (n=56) and control group (n=56). The control group was given transurethral resection, while the study group was given plasma bipolar transurethral transurethral resection. Results: The operative time, postoperative bladder irrigation time of the study group was significantly shorter (P<0.05) and the blood loss was significantly less than the control group (P<0.05). The IPSS, PVR, QOL after treatment of the two groups were significantly lower (P<0.05), the MFR was significantly higher than before treatment (P<0.05). The postoperative complication rate of the study group (5.4%, 3/56) was significantly lower than the control group (17.9%, 10/56) (P<0.05). Conclusions: Plasma bipolar transurethral transurethral resection in high-risk elderly patients with benign prostatic hyperplasia has better application effect, worthy of promotion.
【Key words】Plasma bipolar transurethral transurethral resection; High-risk elderly patients with benign prostatic hyperplasia; Application
【中圖分類號】R697+.32【文獻標志碼】A
前列腺增生屬于一種老年男性疾病,在臨床極為常見,指一系列排尿障礙,包括尿頻、尿急、排尿困難等,發生原因為后尿道在前列腺增大的情況下受到壓迫或延長,如果沒有得到及時有效的治療,將極易引發各種并發癥,如尿路感染、腎積水、尿失禁等[1]。前列腺增生對老年男性的生活質量造成了嚴重的不良影響,因此臨床應該給予其及時有效的治療,如果藥物治療無法取得令人滿意的治療效果,則應該給予患者手術切除治療[2]。現階段,經尿道前列腺等離子雙極汽化電切除、經尿道前列腺電切術等是臨床通常采用的手術方法[3]。本研究對2012年8月至2015年8月我院收治的112例老年高危前列腺增生患者的臨床資料進行統計分析,現報道如下。
1資料與方法
1.1一般資料
隨機選取2012年8月至2015年8月我院收治的112例老年高危前列腺增生患者,納入標準:所有患者均經前列腺B超、尿液等檢查確診為前列腺增生,均有尿急、排尿困難等臨床癥狀,均知情同意;……