经尿道双极等离子前列腺剜除术治疗良性前列腺增生症效果观察

发布时间：2018-10-15 09:17

【摘要】：目的观察经尿道双极等离子前列腺剜除术(PKERP)治疗良性前列腺增生症的临床效果。方法将65例良性前列腺增生症患者随机分为观察组33例和对照组32例,观察组采用PKERP治疗,对照组采用经尿道双极等离子前列腺电切术治疗;记录两组患者手术情况,评价性功能及排尿功能,观察并发症发生情况。结果与对照组比较,观察组患者术中冲洗液中血红蛋白含量减少,手术时间、膀胱冲洗时间及留置尿管时间缩短,且切除前列腺质量增加,P均0.05。与治疗前比较,治疗后两组患者IPSS、最大尿流率、逆行射精及勃起功能障碍发生率增加,残余尿量减少,P均0.05;与对照组比较,观察组上述指标变化更明显,P均0.05。观察组并发症率为12.12%,明显低于对照组的28.13%,P0.05。结论采用PKERP治疗良性前列腺增生症可减少创伤及对性功能的影响,改善排尿功能,提高手术疗效及安全性。
[Abstract]:Objective to observe the clinical effect of transurethral bipolar plasma enucleation of prostate (PKERP) in the treatment of benign prostatic hyperplasia (BPH). Methods Sixty-five patients with benign prostatic hyperplasia were randomly divided into the observation group (n = 33) and the control group (n = 32). The observation group was treated with PKERP and the control group with transurethral bipolar plasma prostatectomy. Sexual function and urination function were evaluated and complications were observed. Results compared with the control group, the hemoglobin content in the irrigation fluid was decreased, the operation time, the time of bladder irrigation and the time of indwelling urethral catheter were shortened in the observation group, and the quality of prostatectomy was increased (P 0.05). Compared with those before treatment, the IPSS, maximum flow rate, the incidence of retrograde ejaculation and erectile dysfunction, and the residual urine volume decreased in the two groups after treatment (P 0.05), and those in the observation group were more obvious than those in the control group (P 0.05). The complication rate in the observation group was 12.12, which was significantly lower than that in the control group (28.13 P 0.05). Conclusion the treatment of benign prostatic hyperplasia with PKERP can reduce the trauma and influence on sexual function, improve urination function, and improve the curative effect and safety of operation.
【作者单位】：安徽医科大学附属巢湖医院;
【分类号】：R699.8

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