经尿道前列腺电切术与等离子电切术治疗良性前列腺增生80例临床分析

连新耀

（陕西省澄城县医院，陕西 渭南，715200）

浏览次数：103次 下载次数：375次

摘要：

目的 观察经尿道前列腺电切术与等离子电切术治疗良性前列腺增生的效果。方法 将我院收治的80 例良性前列腺增 生患者随机分为对照组和观察组，各40 例。对照组采用经尿道前列腺电切术治疗，观察组采用等离子电切术治疗，比较两组 患者的手术情况，术后并发症发生情况及随访恢复情况。结果 观察组手术时间显著长于对照组，术中出血量少于对照组，切 除组织量多于对照组（P<0.05）。观察组并发症总发生率（20.0%）显著低于对照组（52.5%）（P<0.05）。治疗后，两组IPSS 评分、QOL 评分、Qmax、RUV 显著优于治疗前（P<0.05），组间比较差异不显著（P>0.05）。结论 采用等离子电切术治疗良性前列腺增 生，临床效果显著，术后并发症发生率低，前列腺功能改善明显。

关键词：前列腺电切术；等离子电切术；良性前列腺增生

中图分类号：R699文献标志码：A文章编号：2096-1413(2017)35-0074-02

Clinical analysis of transurethral resection of prostate and plasma resection in 80 cases of benign prostatic hyperplasia
LIAN Xin-yao
(Chengcheng County Hospital of Shaanxi Province, Weinan 715200, China)

ABSTRACT: Objective To observe the clinical effects of transurethral resection of prostate and plasma resection on benign prostatic hyperplasia. Methods Eighty cases of patients with benign prostatic hyperplasia admitted in our hospital were randomly divided into control group and observation group, with 40 cases in each group. The control group was treated with transurethral resection of prostate. The observation group was treated with plasma resection. The surgical conditions, postoperative complications and follow-up recovery situations were compared between the two groups. Results In the observation group, the operation time was significantly longer than that in the control group, the amount of bleeding was significantly less than that in the control group, the removal rate was significantly more than that in the control group (P<0.05). The overall incidence of complications (20.0%) in the observation group was significantly lower than that in the control group (52.5%) (P<0.05). After treatment, the IPSS scores, QOL scores, Qmax and RUV were significantly better than those before treatment (P<0.05), but there was no significant difference between the two groups (P>0.05). Conclusion The clinical effect of plasma resection in the treatment of benign prostatic hyperplasia is remarkable, the incidence rate of postoperative complications is low, and the improvement of prostate function is obvious.
KEYWORDS: prostate transurethral resection; plasma resection; benign prostatic hyperplasia

参考文献：
[1] 李爱国,于满,宋殿宾,等.前列腺增生手术后再发前列腺癌(附16例报告)[J].中国男科学杂志,2016,30(3):52-53,58.
[2] 杨波,王颖.双极等离子电切术对老年高危前列腺增生患者的疗效及生活质量的影响[J].中国老年学杂志,2016,36(9):2239-2240.
[3] 陆鸿海,王晖,李爱华,等.经尿道前列腺电汽化切除术治疗高龄大体积前列腺增生患者的疗效观察[J].中国男科学杂志,2016,30(6):52-54.
[4] 刘俊峰,谭朝晖,李星智,等.经尿道双极等离子前列腺剜除术治疗 80 mL 以上前列腺增生的疗效分析[J].重庆医学,2015,44(6):795-797.
[5] 叶木石,柳建军,苏劲,等.前列腺突入膀胱程度对前列腺增生患者前列腺等离子电切术后效果的预测评估作用[J].中华实验外科杂志,2015,32(11):2869-2871.
[6] 刘萃龙,欧阳昀,郭建军,等.选择性绿激光前列腺汽化术治疗良性前列腺增生症疗效观察[J].中华外科杂志,2013,51(2):115-118.
[7] 李健,冯起庆,张廷继,等.经尿道前列腺增生绿激光汽化术与汽化电切术的疗效比较[J].天津医药,2011,39(3):212-214.
[8] 洪宝发,蔡伟,符伟军,等.选择性绿激光汽化术治疗良性前列腺增生的临床研究[J].中华泌尿外科杂志,2005,26(1):17-19.