分析前列腺等离子电切术对前列腺增生患者手术后尿流动力学参数的治疗效果(1)
[摘要] 目的 分析對前列腺增生患者实施前列腺等离子电切术治疗的效果以及对患者术后尿流动力学参数的影响。方法 在2017年4月—2019年4月间入院接受治疗的前列腺增生患者中简单随机选择100例进行分组治疗，依据数字表法进行分组，各50例。对照组实施传统经尿道前列腺电切术进行治疗，观察组则实施前列腺等离子电切术进行治疗，对治疗效果以及术后尿流动力学参数进行比较。结果 比较两组前列腺症状评分(IPSS)，术前对比差异无统计学意义(t=0.338，P>0.05)。术后观察组IPSS评分为(7.5±1.2)分明显低于对照组，差异有统计学意义(t=8.821，P<0.05)。对比两组留置尿管时间、住院时间，观察组分别为(5.1±0.3)d、(7.2±0.6)d，均显著短于对照组，差异有统计学意义(t=21.828、13.728，P<0.05)。观察组术后最大尿流率为(18.5±3.1)mL/s、膀胱残余尿量为(17.5±2.4)mL，结果显示差异有统计学意义(t=8.256、12.063，P<0.05)。结论 前列腺等离子电切术治疗前列腺增生可达到良好疗效，利于患者康复，同时有效改善患者的尿流动力学参数，改善患者的前列腺功能。
[关键词] 前列腺增生;前列腺等离子电切术;尿流动力学参数;临床疗效
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)10(b)-0012-04
[Abstract] Objective To analyze the effect of plasma electrosurgical resection of prostate on patients with benign prostatic hyperplasia and the influence on urodynamic parameters after surgery. Methods A total of 100 patients with benign prostatic hyperplasia admitted to the hospital between April 2017 and April 2019 were simplely randomly selected for group treatment， and grouped according to the digital table method， with 50 cases in each group. The control group was treated with traditional transurethral resection of the prostate， and the observation group was treated with plasma resection of the prostate. The treatment effect and postoperative urodynamic parameters were compared. Results Comparing the prostate symptom score (IPSS) between the two groups， the difference was not statistically significant(t=0.338，P>0.05). The IPSS score of the observation group was (7.5±1.2) points significantly lower than that of the control group， the difference was statistically significant(t=8.821，P<0.05). Comparing the indwelling catheter time and hospital stay of the two groups， the observation group was (5.1±0.3)d and (7.2±0.6)d respectively， which were significantly shorter than the control group， the difference was statistically significant(t=21.828， 13.728， P<0.05). The maximum urine flow rate in the observation group was (18.5±3.1) mL/s， and the residual urine volume of the bladder was (17.5±2.4) mL， the difference was statistically significant(t=8.256， 12.063， P<0.05). Conclusion Plasma electrotomy of the prostate can achieve good curative effect in the treatment of benign prostatic hyperplasia， which is conducive to the recovery of patients. At the same time， it can effectively improve the urodynamic parameters of the patients and improve the prostate function of the patients. It has high application value., http://www.100md.com(赵虎 吴斌 李文军 江岳方 查振雷 姜彬 张立进)
[关键词] 前列腺增生;前列腺等离子电切术;尿流动力学参数;临床疗效
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)10(b)-0012-04
[Abstract] Objective To analyze the effect of plasma electrosurgical resection of prostate on patients with benign prostatic hyperplasia and the influence on urodynamic parameters after surgery. Methods A total of 100 patients with benign prostatic hyperplasia admitted to the hospital between April 2017 and April 2019 were simplely randomly selected for group treatment， and grouped according to the digital table method， with 50 cases in each group. The control group was treated with traditional transurethral resection of the prostate， and the observation group was treated with plasma resection of the prostate. The treatment effect and postoperative urodynamic parameters were compared. Results Comparing the prostate symptom score (IPSS) between the two groups， the difference was not statistically significant(t=0.338，P>0.05). The IPSS score of the observation group was (7.5±1.2) points significantly lower than that of the control group， the difference was statistically significant(t=8.821，P<0.05). Comparing the indwelling catheter time and hospital stay of the two groups， the observation group was (5.1±0.3)d and (7.2±0.6)d respectively， which were significantly shorter than the control group， the difference was statistically significant(t=21.828， 13.728， P<0.05). The maximum urine flow rate in the observation group was (18.5±3.1) mL/s， and the residual urine volume of the bladder was (17.5±2.4) mL， the difference was statistically significant(t=8.256， 12.063， P<0.05). Conclusion Plasma electrotomy of the prostate can achieve good curative effect in the treatment of benign prostatic hyperplasia， which is conducive to the recovery of patients. At the same time， it can effectively improve the urodynamic parameters of the patients and improve the prostate function of the patients. It has high application value., http://www.100md.com(赵虎 吴斌 李文军 江岳方 查振雷 姜彬 张立进)