微创等离子前列腺电切术治疗高危良性前列腺增生的临床观察(1)
[摘要]目的 探讨微创等离子前列腺电切术治疗高危良性前列腺增生的临床效果。方法 选取2015年11月～2017年11月在我院进行手术治疗的高危良性前列腺增生患者74例作为研究对象，按照随机分组法分为对照组(37例)和治疗组(37例)。对照组采用传统经尿道前列腺电切术进行治疗；治疗组采用微创等离子前列腺电切术进行治疗进行治疗。比较两组患者手术前后的尿道功能指标、生活质量、心理状态评分；手术治疗的总有效率、术后并发症发生率、对手术方法和达到效果的满意度、手术操作时间、尿管留置时间、膀胱冲洗时间、术后住院时间、操作期间出血量。结果 两组患者治疗后的尿道功能指标、生活质量和心理状态评分均高于治疗前，差异有统计学意义(P<0.05)。两组治疗前的上述指标比较，差异无统计学意义(P>0.05)；两组治疗后的上述指标比较，差异有统计学意义(P<0.05)。治疗组患者手术治疗后的总有效率高于对照组，总满意度高于对照组(P<0.05)。治疗组患者术后并发症发生率为2.7%(1/37)，低于对照组的16.2%(6/37)，差异有统计学意义(P<0.05)。治疗组患者的手术操作时间、尿管留置时间、膀胱冲洗时间、术后住院时间均短于对照组，操作期间出血量少于对照组(P<0.05)。结论 微创等离子前列腺电切术治疗高危良性前列腺增生能够在短时间内改善尿道功能，使患者保持良好的心理状态，提高其生活质量，可缩短治疗操作时间和术后恢复时间，减少术中出血量和相关不良反应的发生，使疾病治疗效果和患者满意度得到同步提升。
[關键词]高危；良性；前列腺增生；微创；等离子前列腺电切术；治疗；尿道功能
[中图分类号] R697+.3 [文献标识码] A [文章编号] 1674-4721(2018)9(c)-0020-04
Clinical observation of minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia
CHENG Xian-rui WANG Yu-xiang CHEN Zi-hua ZHU Ke-he DONG Zhen-hua ZHANG Yong-jian
The First Department of Surgery， Yugan People′s Hospital of Jiangxi Province， Yugan 335100， China
[Abstract] Objective To investigate the clinical effect of minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia. Methods A total of 74 patients with benign prostatic hyperplasia treated by surgery in our hospital from November 2015 to November 2017 were selected as the research objects， and they were divided into the control group (37 cases) and treatment group (37 cases) according to the random grouping method. The control group was treated with traditional transurethral resection of the prostate， while the treatment group was treated with minimally invasive plasmakinetic prostatic resection. The preoperative and postoperative urethral function， quality of life， psychological status， and total effective rate of surgical treatment， postoperative complications， satisfaction with surgical methods and achieving effect， operation time， urethral indwelling time， bladder irrigation time， postoperative hospital stay， bleeding volume during operation were compared in patients bieween the two groups. Results The indexes of urethral function， quality of life and mental state score in the two groups were higher than those before treatment， and the differences were statistically significant (P<0.05). There was no significant difference of the above-mentioned indexes between the two groups before treatment (P>0.05)， and there were significant differences of the above-mentioned indexes between the two groups after treatment (P<0.05). The total effective rate after surgery treatment in the treatment group was higher than that of the control group， and the total satisfaction degree of the treatment group was higher than that of the control group (P<0.05). The incidence of postoperative complications was 2.7% (1/37) in the treatment group， which was lower than that of the control group (16.2%， 6/37)， and the difference was statistically significant (P<0.05). The operation time， catheter retention time， bladder irrigation time and postoperative hospitalization time of the treatment group were shorter than those of the control group (P<0.05)， and the amount of bleeding during operation was less than that of the control group (P<0.05). Conclusion Minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia can improve the urethral function in a short time， keep the patients in good psychological state and improve their quality of life， and it can shorten the operation time and postoperative recovery time， reduce the amount of bleeding during operation and the occurrence of related adverse reactions， and promote the treatment effect and satisfaction degree of patients simultaneously., 百拇医药(程先睿 王玉香 陈字花 朱克和 董振华 )
[關键词]高危；良性；前列腺增生；微创；等离子前列腺电切术；治疗；尿道功能
[中图分类号] R697+.3 [文献标识码] A [文章编号] 1674-4721(2018)9(c)-0020-04
Clinical observation of minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia
CHENG Xian-rui WANG Yu-xiang CHEN Zi-hua ZHU Ke-he DONG Zhen-hua ZHANG Yong-jian
The First Department of Surgery， Yugan People′s Hospital of Jiangxi Province， Yugan 335100， China
[Abstract] Objective To investigate the clinical effect of minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia. Methods A total of 74 patients with benign prostatic hyperplasia treated by surgery in our hospital from November 2015 to November 2017 were selected as the research objects， and they were divided into the control group (37 cases) and treatment group (37 cases) according to the random grouping method. The control group was treated with traditional transurethral resection of the prostate， while the treatment group was treated with minimally invasive plasmakinetic prostatic resection. The preoperative and postoperative urethral function， quality of life， psychological status， and total effective rate of surgical treatment， postoperative complications， satisfaction with surgical methods and achieving effect， operation time， urethral indwelling time， bladder irrigation time， postoperative hospital stay， bleeding volume during operation were compared in patients bieween the two groups. Results The indexes of urethral function， quality of life and mental state score in the two groups were higher than those before treatment， and the differences were statistically significant (P<0.05). There was no significant difference of the above-mentioned indexes between the two groups before treatment (P>0.05)， and there were significant differences of the above-mentioned indexes between the two groups after treatment (P<0.05). The total effective rate after surgery treatment in the treatment group was higher than that of the control group， and the total satisfaction degree of the treatment group was higher than that of the control group (P<0.05). The incidence of postoperative complications was 2.7% (1/37) in the treatment group， which was lower than that of the control group (16.2%， 6/37)， and the difference was statistically significant (P<0.05). The operation time， catheter retention time， bladder irrigation time and postoperative hospitalization time of the treatment group were shorter than those of the control group (P<0.05)， and the amount of bleeding during operation was less than that of the control group (P<0.05). Conclusion Minimally invasive plasmakinetic prostatic resection treating high-risk benign prostatic hyperplasia can improve the urethral function in a short time， keep the patients in good psychological state and improve their quality of life， and it can shorten the operation time and postoperative recovery time， reduce the amount of bleeding during operation and the occurrence of related adverse reactions， and promote the treatment effect and satisfaction degree of patients simultaneously., 百拇医药(程先睿 王玉香 陈字花 朱克和 董振华 )