等离子前列腺剜除术与普通前列腺电切术治疗前列腺增生的临床效果比较
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摘要
目的比较等离子前列腺剜除术与普通前列腺电切术治疗前列腺增生的临床疗效。方法选取2015年2月15日至2017年2月15日在我科室已经确诊的前列腺增生患者90例,按病历号的不同分为观察组和对照组,单号为对照组进行前列腺电切术,双号为观察组进行等离子前列腺剜除术。观察患者术中出血量,手术时间,住院时间,留置导尿时间及术后不良反应发生情况。观察时间为3个月。结果两组前列腺增生患者,经等离子前列腺剜除术治疗的观察组术中出血量,手术时间,住院时间,留置导尿时间均小于经尿道前列腺电切术的对照组,两组术后各项指标(术后残余尿量、最大尿流量、IPSS评分、生活质量评分)与术前比较,具有统计学意义(P<0.05)。两组前列腺增生患者观察组术后不良反应发生率(4.44%)明显低于对照组患者,具有统计学意义(P<0.05)。结论糖化等离子前列腺剜除术在前列腺增生的治疗中,不良反应发生率较低,效果显著,值得在临床上进行拓展。
Objective To compare clinical effect of prostate plasmakinetic enucleation and transurethral resection in treatment of benign prostatic hyperplasia. Methods Choose 90 cases enign prostatic hyperplasia patients diagnosed in our department from February 15, 2015 to February 15, 2017, divide them into observation and control group according to different medical record number, control group with odd numbers was treated with prostate transurethral resection, and observation group with even numbers with prostate plasmakinetic enucleation. Observe bleeding amount, operation time, length of stay, indwelling catheterization time and adverse reactions with observation time of 3 months. Results Compare benign prostatic hyperplasia patients of two groups, bleeding amount, operation time, length of stay and indwelling catheterization time of observation group treated with prostate plasmakinetic enucleation, was less than control group with prostate transurethral resection, postoperative indicators of two groups(postoperative residual urine, maximum urinary flow, IPSS scores and life quality scores) showed statistical significance compared with that before operation,(P < 0.05). Postoperative adverse reactions incidence of observation group(4.44%) was significantly lower than control group, with statistical significance(P< 0.05). Conclusion Prostate plasmakinetic enucleation has low adverse reaction incidence and significant effect for benign prostatic hyperplasia, which is worthy of clinical expansion.
Objective To compare clinical effect of prostate plasmakinetic enucleation and transurethral resection in treatment of benign prostatic hyperplasia. Methods Choose 90 cases enign prostatic hyperplasia patients diagnosed in our department from February 15, 2015 to February 15, 2017, divide them into observation and control group according to different medical record number, control group with odd numbers was treated with prostate transurethral resection, and observation group with even numbers with prostate plasmakinetic enucleation. Observe bleeding amount, operation time, length of stay, indwelling catheterization time and adverse reactions with observation time of 3 months. Results Compare benign prostatic hyperplasia patients of two groups, bleeding amount, operation time, length of stay and indwelling catheterization time of observation group treated with prostate plasmakinetic enucleation, was less than control group with prostate transurethral resection, postoperative indicators of two groups(postoperative residual urine, maximum urinary flow, IPSS scores and life quality scores) showed statistical significance compared with that before operation,(P < 0.05). Postoperative adverse reactions incidence of observation group(4.44%) was significantly lower than control group, with statistical significance(P< 0.05). Conclusion Prostate plasmakinetic enucleation has low adverse reaction incidence and significant effect for benign prostatic hyperplasia, which is worthy of clinical expansion.
引文
[1]刘俊峰,谭朝晖,李三祥,等.经尿道双极等离子前列腺剜除术与经尿道双极等离子电切术比较治疗前列腺增生的临床研究[J].中国循证医学杂志,2013,13(12):1405-1408.
[2]陈斌,郑嘉欣,张开颜,等.经尿道前列腺剜除术与电切术治疗不同质量良性前列腺增生的前瞻性研究[J].中华泌尿外科杂志,2013,34(8):608-612.
[3]罗文清,王明,苟欣,等.经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的安全性和疗效比较[J].重庆医科大学学报,2011,36(12):1524-1527.
[4]林升汉,黄卫,孙占玉,等.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的疗效差异分析[J].中国性科学,2017,26(3):15-18.
[5]敖劲松,汪波,邱承俊,等.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的临床疗效比较[J].中华腔镜泌尿外科杂志(电子版),2012,06(4):301-303.
[6]凌叶明.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的疗效比较[J].现代中西医结合杂志,2013,22(33):3701-3703.
[7]刘宏伟,左玲,柳建军,等.经尿道等离子前列腺剜除术与电切术治疗大体积前列腺增生疗效比较[J].中国男科学杂志,2015,29(11):45-48,52.
[8]罗成军,李静文.经尿道等离子前列腺剜除术治疗前列腺增生症的疗效分析[J].中华老年多器官疾病杂志,2016,15(8):617-620.
[9]胡斌.经尿道双极等离子前列腺剜除术与经尿道双极等离子电切术治疗前列腺增生的临床比较[J].系统医学,2017,2(2):55-56,60.
[10]杨建林.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的临床疗效对比[J].中国社区医师,2016,32(24):28-29.
[11]朱凌峰,谭建明.经尿道双极等离子前列腺剜除术治疗体积>60ml前列腺增生的疗效分析[J].中国微创外科杂志,2016,16(5):394-398.
[12]林宁峰,刘昌明,李国敏,等.经尿道等离子前列腺电切术和剜除术治疗前列腺增生的临床疗效比较[J].当代医学,2011,17(27):58-60.
[13]王子锋,张宏,杨群,等.钬激光前列腺剜除术与经尿道等离子前列腺剜除电切术治疗良性前列腺增生的效果对比[J].中国综合临床,2015,31(9):831-834.
[14]郝炜,云志中,马可为,等.双极等离子前列腺剜除术与电切术治疗前列腺增生症的随机对照研究[J].临床和实验医学杂志,2017,16(4):388-390.
[15]俞国杰,宋小勇,李晨,等.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的疗效比较[J].医药前沿,2016,6(9):202-203.
[16]白忠原,杨江根,肖克峰,等.等离子前列腺剜除术与前列腺电切术的临床疗效对比分析[J].中国老年学杂志,2010,30(11):1483-1485.
[17]张伟,王禾,保庭毅,等.980nm第二代半导体红激光在前列腺增生治疗中的初步研究[J].现代泌尿外科杂志,2016,21(4):263-266.
[18]李晓涛,张劲松.经尿道等离子前列腺剜除术的疗效及安全性评价[J].昆明医科大学学报,2015,36(7):131-134.
[19]彭延慧,李民雄.经尿道等离子前列腺剜除术与电切术治疗前列腺增生症的效果对比[J].中国医药导报,2013,10(11):43-44,47.
[20]屈维龙,汪益民,尤志新,等.经尿道等离子前列腺剜除术治疗良性前列腺增生[J].贵州医科大学学报,2016,41(12):1444-1447.
[2]陈斌,郑嘉欣,张开颜,等.经尿道前列腺剜除术与电切术治疗不同质量良性前列腺增生的前瞻性研究[J].中华泌尿外科杂志,2013,34(8):608-612.
[3]罗文清,王明,苟欣,等.经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的安全性和疗效比较[J].重庆医科大学学报,2011,36(12):1524-1527.
[4]林升汉,黄卫,孙占玉,等.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的疗效差异分析[J].中国性科学,2017,26(3):15-18.
[5]敖劲松,汪波,邱承俊,等.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的临床疗效比较[J].中华腔镜泌尿外科杂志(电子版),2012,06(4):301-303.
[6]凌叶明.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的疗效比较[J].现代中西医结合杂志,2013,22(33):3701-3703.
[7]刘宏伟,左玲,柳建军,等.经尿道等离子前列腺剜除术与电切术治疗大体积前列腺增生疗效比较[J].中国男科学杂志,2015,29(11):45-48,52.
[8]罗成军,李静文.经尿道等离子前列腺剜除术治疗前列腺增生症的疗效分析[J].中华老年多器官疾病杂志,2016,15(8):617-620.
[9]胡斌.经尿道双极等离子前列腺剜除术与经尿道双极等离子电切术治疗前列腺增生的临床比较[J].系统医学,2017,2(2):55-56,60.
[10]杨建林.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的临床疗效对比[J].中国社区医师,2016,32(24):28-29.
[11]朱凌峰,谭建明.经尿道双极等离子前列腺剜除术治疗体积>60ml前列腺增生的疗效分析[J].中国微创外科杂志,2016,16(5):394-398.
[12]林宁峰,刘昌明,李国敏,等.经尿道等离子前列腺电切术和剜除术治疗前列腺增生的临床疗效比较[J].当代医学,2011,17(27):58-60.
[13]王子锋,张宏,杨群,等.钬激光前列腺剜除术与经尿道等离子前列腺剜除电切术治疗良性前列腺增生的效果对比[J].中国综合临床,2015,31(9):831-834.
[14]郝炜,云志中,马可为,等.双极等离子前列腺剜除术与电切术治疗前列腺增生症的随机对照研究[J].临床和实验医学杂志,2017,16(4):388-390.
[15]俞国杰,宋小勇,李晨,等.经尿道等离子前列腺剜除术和电切术治疗前列腺增生的疗效比较[J].医药前沿,2016,6(9):202-203.
[16]白忠原,杨江根,肖克峰,等.等离子前列腺剜除术与前列腺电切术的临床疗效对比分析[J].中国老年学杂志,2010,30(11):1483-1485.
[17]张伟,王禾,保庭毅,等.980nm第二代半导体红激光在前列腺增生治疗中的初步研究[J].现代泌尿外科杂志,2016,21(4):263-266.
[18]李晓涛,张劲松.经尿道等离子前列腺剜除术的疗效及安全性评价[J].昆明医科大学学报,2015,36(7):131-134.
[19]彭延慧,李民雄.经尿道等离子前列腺剜除术与电切术治疗前列腺增生症的效果对比[J].中国医药导报,2013,10(11):43-44,47.
[20]屈维龙,汪益民,尤志新,等.经尿道等离子前列腺剜除术治疗良性前列腺增生[J].贵州医科大学学报,2016,41(12):1444-1447.