摘要
目的探讨分析经尿道前列腺等离子双极电切术治疗前列腺增生的临床效果。方法选取该院2016年7月—2018年8月收治的100例前列腺增生患者,按照随机数字法分成对照组和观察组,各50例。对照组采取经尿道前列腺电切术治疗,观察组采取经尿道前列腺等离子双极电切术治疗,比较两组患者的术中出血量、导尿管留置时间、住院时间和术后并发症发生情况。结果观察组患者术中出血量(62.14±15.32)mL明显少于对照组(77.82±18.65)mL,导尿管留置时间(4.14±0.29)d、住院时间(6.01±1.21)d明显短于对照组(6.85±1.54)d、(7.59±2.34)d,差异有统计学意义(t=4.590、12.230、4.240,P<0.05);观察组患者最大尿流率(14.32±3.58)mL/s明显高于对照组患者(11.31±2.40)mL/s(t=4.940,P<0.05);观察组患者不稳定膀胱率14%(7/50)、膀胱出口梗阻率6%(3/50)明显低于对照组38%、34%(χ^2=5.897、5.132,P<0.05);观察组术后并发症发生率6%低于对照组30%(χ^2=9.760,P<0.05)。结论经尿道前列腺等离子双极电切术治疗前列腺增生,有效缩短尿管留置时间和住院时间,减少术中出血量,改善尿路功能,降低术后并发症发生率。
Objective To analyze the clinical effect of transurethral prostate bipolar resection for prostate hyperplasia.Methods 100 patients with benign prostatic hyperplasia treated in the hospital from July 2016 to August 2018 were selected and divided into a control group and an observation group according to random number method,each with 50 cases.The control group was treated with transurethral resection of the prostate,and the observation group was treated with transurethral prostate bipolar resection.The intraoperative blood loss,the catheter indwelling time,and the length of hospital stay were compared between the two groups.And postoperative complications.Results The amount of intraoperative blood loss(62.14±15.32)mL in the observation group was significantly less than that in the control group(77.82±18.65)mL.The catheter indwelling time(4.14±0.29)d and the length of hospital stay(6.01±1.21)d were significantly shorter than those in the control group(6.85±1.54)d,(7.59±2.34)d,the difference was statistically significant(t=4.590,12.230,4.240,P<0.05);the maximum urine flow rate(14.32±3.58)mL/s in the observation group was significantly higher In the control group(11.31±2.40)mL/s(t=4.940,P<0.05);in the observation group,the unstable bladder rate was 14%(7/50),and the bladder outlet obstruction rate was 6%(3/50).In the control group,38%and 34%(χ^2=5.897,5.132,P<0.05);the postoperative complication rate in the observation group was 6%lower than that in the control group,30%(χ^2=9.760,P<0.05).Conclusion Transurethral plasma bipolar resection of prostate for the treatment of benign prostatic hyperplasia can effectively shorten the urinary indwelling time and hospital stay,reduce the amount of intraoperative bleeding,improve urinary tract function,and reduce the incidence of postoperative complications.
作者
李中
LI Zhong(Hezhou People's Hospital,Hezhou,Guangxi,542899 China)
出处
《世界复合医学》
2020年第4期78-81,共4页
World Journal of Complex Medicine
关键词
前列腺增生
经尿道前列腺等离子双极电切术
经尿道前列腺电切术
Benign prostatic hyperplasia
Transurethral prostate bipolar resection
Transurethral resection of prostate
