经尿道前列腺等离子电切术治疗不同体积前列腺增生的疗效对比分析

发布时间：2018-09-05 18:47

【摘要】：目的：探讨经尿道前列腺等离子电切术（Transurethral Plasma kineticresection of prostate,TUPKRP）在不同体积前列腺增生（BPH）治疗中的效果。方法：300例良性BPH患者，前列腺体积在60-80ml者为A组，80-120ml者为B组，均行经尿道前列腺等离子电切术（TUPKRP）治疗，比较两组的手术时间、术中出血量、切除前列腺质量、术后尿管留置时间、术后冲洗时间、术后住院时间之间的差异。结果：A组患者的手术时间明显比B组短，切除前列腺质量明显比B组小（P0.05）；但是两组患者的术中出血量、术后尿管留置时间、术后冲洗时间、术后住院时间之间的差异均不显著（P0.05）；两组患者术前国际症状评分之间的差异均不显著（P0.05），两组术后国际症状评分均显著降低，A组与B组间无明显差异（P0.05）；A组患者中术后暂时性尿失禁11例，，泌尿系感染6例，尿道狭窄6例，输血3例，术后并发症发生率为14.8%（26/176）；B组患者中术后暂时性尿失禁6例，泌尿系感染4例，尿道狭窄2例，输血4例，术后并发症发生率为12.9%（16/124）。两组患者术后并发症发生率无明显差异（P0.05）；A组、B组内高血压和非高血压、糖尿病和非糖尿病患者的手术时间、术中出血量、切除前列腺质量、术后尿管留置时间、术后冲洗时间、术后住院时间之间的差异均不显著（P0.05），高血压和糖尿病对手术各项指标没有影响。结论：经尿道前列腺等离子电切术（plasma kinetic resection ofprostate,PKRP）治疗大体积BPH安全有效，且其安全性以及效果与小体积BPH相当。
[Abstract]:Objective: to evaluate the effect of transurethral prostatectomy (Transurethral Plasma kineticresection of prostate,TUPKRP) in the treatment of benign prostatic hyperplasia with (BPH). Methods three hundred patients with benign BPH were treated with transurethral prostatectomy (TUPKRP) with prostate volume in group A (80-120ml) and group A (80-120ml). The operative time, intraoperative blood loss and prostatic mass were compared between the two groups. The difference between postoperative urinary catheter retention time, postoperative irrigation time and postoperative hospitalization time. Results the operative time of group A was significantly shorter than that of group B, and the quality of prostatectomy was significantly smaller than that of group B (P0.05), but the amount of blood lost during operation, the time of retention of urinary catheter after operation, and the time of washing after operation in both groups were significantly lower than those in group B (P0.05). There was no significant difference in postoperative hospitalization time between the two groups (P0.05), there was no significant difference between the two groups in preoperative international symptom score (P0.05), and there was no significant difference between the two groups in postoperative international symptom score (P0.05). In group A, there were 11 cases of temporary urinary incontinence, 6 cases of urinary tract infection, 6 cases of urethral stricture and 3 cases of blood transfusion. The incidence of postoperative complications was 14.8% (26 / 176) in group B, 6 cases were temporary urinary incontinence and 4 cases were urinary tract infection. There were 2 cases of urethral stricture and 4 cases of blood transfusion. The incidence of postoperative complications was 12.9% (16 / 124). There was no significant difference in the incidence of postoperative complications between the two groups (P0.05). The operative time, intraoperative blood loss, prostatectomy quality, postoperative urinary catheter indwelling time of patients with hypertension and non-hypertension, diabetes mellitus and non-diabetes in group A and B were not significantly different. There was no significant difference between postoperative irrigation time and postoperative hospitalization time (P0.05). Hypertension and diabetes had no effect on the operation indexes. Conclusion: transurethral plasma resection of prostate (plasma kinetic resection ofprostate,PKRP) is safe and effective in the treatment of large volume BPH, and its safety and effect are comparable to that of small volume BPH.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699

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