经尿道前列腺等离子双极电切术治疗高龄前列腺增生的疗效及对尿道功能的影响.docVIP

子顾电切希 2018-04-08 09:50:18中国现代医生2018年4期 古军 ［ ］戸的探讨经尿道前列腺等离子双极电切术(PKRP)在高龄前列腺增生治疗屮的应用价 值。方法选取2014年3月?2017年3月收治的高龄前列腺增生患者90例为研究对象，以随机数 字表法分为实验组45例、对照组45例。实验组行PKRP术治疗，对照组行经尿道前列腺电切术 (TURP)治疗，观察两组手术及术后恢复悄况、尿道功能变化及术后并发症发生悄况。结果两组 均顺利完成手术，两组前列腺切除重量、手术时间无显著差异(P0.05)；两组术中出血量、术后住 院时间比较，差异有统计学意义(PvO.05)；两组患者术前尿道功能无显著差异(P0.05),术后 均有改善，且实验组术后MUCP、Qmax显著高于对照组，RUV明显低于对照组，差异有统计学意 义(PvO.05)；实验组术后并发症发生率为4.44%,同对照组的17.78%比较，明显较低，差异有统 计学意义(PvO.05)。结论PKRP术治疗高龄前列腺增生效果确切，可减少岀血量，缩短住院时间， 促进尿道功能恢复，口安全性高，值得推广。 ［关键词］经尿道前列腺等离子双极电切术；前列腺增生；高龄患者；尿道功能 ［中图分类号］R699.8 ［文献标识码］A ［文章编号］1673-9701 (2018) 04-0029-03 ［Abstract］ Objective To investigate the application value of plasmakinetic energy transurethral resection of the prostate (PKRP) in the treatment of benign prostatic hyperplasia (BPH). Methods A total of 90 patients with elderly benign prostatic hyperplasia (BPH) treated in our hospital from March 2014 to March 2017 were selected and divided into experimental group (n=45) and control group (n=45) , according to random number table method. The experimental group was treated with PKRP and the control group was given t「ansurethral resection of the prostate (TURP)? The surgery and postoperative recovery, urethral function change and postoperative complications between the two groups were observed. Results Both groups successfully completed the operation. There was no significant differenee in the weight of prostatectomy and operation time between the two groups (P0.05) . And there were significant differences in the amount of bleeding during operation and hospital stay after operation between the experimental group and the control group (P0.05) . There was no significant differenee between the two groups in preoperative urethral function (P0.05)? And postoperative improvement was observed? The postoperative MUCP and Qmax in the experimental group were significantly higher than those in the control group? RUV in the experimental group was significantly lower than that in the control group (P0.05) . The