经尿道前列腺等离子电切术与前列腺汽化电切术治疗前列腺增生合并慢性前列腺炎的疗效比较

doi:10.3969/j.issn.1671-7171.2021.10.020

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摘要【目的】探讨经尿道前列腺等离子电切术与前列腺汽化电切术治疗前列腺增生合并慢性前列腺炎的临床效果。【方法】选取2018年8月至2020年8月济南市第五人民医院收治的80例前列腺增生合并慢性前列腺炎患者为研究对象,采用随机数表法将其分为观察组(行经尿道前列腺等离子电切术)和对照组(行前列腺汽化电切术),每组各40例。观察两组患者手术一般情况和并发症发生率,比较两组患者手术前后血红蛋白(Hb)下降值和红细胞比容下降值、国际前列腺症状(IPSS)评分、最大尿流率(Qmax)的差异。【结果】对照组总失血量和平均失血量均低于观察组,差异有统计学意义(P<0.05),两组患者手术时间和切除前列腺总量比较,差异无统计学意义(P>0.05)。对照组患者Hb下降值和红细胞比容下降值低于观察组,差异均有统计学意义(P<0.001)。术后6个月,对照组患者IPSS评分低于观察组,Qmax高于观察组,差异有统计学意义(均P<0.05)。两组患者术后出血、膀胱刺激征、尿道狭窄和包膜穿孔并发症发生率比较,差异无统计学意义(χ² =1.053,P=0.305＞0.05)。【结论】相较经尿道前列腺等离子电切术,前列腺汽化电切术对前列腺增生合并慢性前列腺炎患者的治疗效果较好,可明显改善患者的症状,且不会增加并发症发生率,具有良好的应用价值。

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	宋晓琳
	王文祯

关键词 ：经尿道前列腺切除术, 电外科手术, 尿道/外科学, 前列腺增生/外科学, 前列腺炎/外科学

Abstract：【Objective】To investigate the clinical effect of transurethral plasma resection of prostate and vaporization resection of prostate in the treatment of benign prostatic hyperplasia complicated with chronic prostatitis. 【Methods】A total of 80 patients with benign prostatic hyperplasia complicated with chronic prostatitis treated in Jinan Fifth People's Hospital from August 2018 to August 2020 was randomly divided into observation group (transurethral plasma resection of prostate) and control group (vaporization resection of prostate), with 40 cases in each group. The general conditions of operation and the incidence of complications were observed. The decreased values of hemoglobin (HB) and hematocrit, international prostate symptom (IPSS) score and maximum urinary flow rate (Qmax) were compared between the two groups before and after operation. 【Results】 The total blood loss and average blood loss in the control group were lower than those in the observation group, the difference was statistically significant (P<0.05). There was no significant difference in operation time and total prostate resection between the two groups (P>0.05). The decrease of Hb and hematocrit in the control group were lower than those in the observation group (P<0.001). Six months after operation, the IPSS score of the control group was lower than that of the observation group, and the Qmax was higher than that of the observation group (mean P<0.05). There was no significant difference in the incidence of postoperative bleeding, bladder irritation, urethral stricture and capsule perforation between the two groups(χ²=1.053,P=0.305＞0.05). 【Conclusion】 Vaporization electroresection of prostate is effective in the treatment of patients with benign prostatic hyperplasia complicated with chronic prostatitis. It can significantly improve the symptoms of patients without increasing the incidence of complications. It has good application value.

Key words： Transurethral Resection of Prostate Electrosurgery Urethra/SU Prostatic Hyperplasia/SU Prostatitis/SU

收稿日期: 2021-05-17

中图分类号:

R697.32

通讯作者: *E-mail:853188132@qq.com

引用本文:

宋晓琳, 王文祯. 经尿道前列腺等离子电切术与前列腺汽化电切术治疗前列腺增生合并慢性前列腺炎的疗效比较[J]. 医学临床研究, 2021, 38(10): 1512-1514.
SONG Xiao-lin, WANG Wen-zhen. Clinical Effect of Transurethral Plasma Resection of Prostate and Vaporization Resection of Prostate in the Treatment of Benign Prostatic Hyperplasia Complicated with Chronic Prostatitis. JOURNAL OF CLINICAL RESEARCH, 2021, 38(10): 1512-1514.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.10.020 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I10/1512