王强

[摘要] 目的 探讨前列腺等离子电切术在老年梗阻前列腺增生患者中的应用效果。 方法 选取2014年1月～2015年12月间我院入组的老年梗阻性前列腺增生患者为研究对象，共计90例。均采用前列腺等离子电切术。对患者术中出血量、手术时间、尿管留置时间、术后住院时间等进行统计。比较术前及术后3个月的IPSS、QOL、最大尿流率Qmax、剩余尿量PVR等。 结果 发现年龄较小的患者在手术过程中出血量较少（t=-1.913，P=0.029），手术时间较短（P>0.05）。术后年龄较小的患者尿管滞留时间与术后住院时间均显著少于年龄较大的患者（P<0.01）。手术后患者治疗效果较好，在Qmax、PVR、IPSS评分、QOL评分等方面与手术前比较具有显著统计学意义（P<0.01）。结论 采用前列腺等离子电切手术治疗老年梗阻前列腺增生，效果较好，术后康复情况较好，值得临床推广。

[关键词] 老年梗阻；前列腺增生；前列腺等离子电切术

[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2017）11-251-03

Analysis on curative effect of transurethral plasma kinetic resection of prostate for patients with senile obstructive prostatic hyperplasia

WANG Qiang

Xingning People's Hospital，Xingning 514500，China

[Abstract] Objective To explore application effect of transurethral plasma kinetic resection of prostate in patients with senile obstructive prostatic hyperplasia. Methods A total of 90 patients with senile obstructive prostatic hyperplasia who were admitted to our hospital from January 2014 to December 2015 were selected as research objects.They were all given transurethral plasma kinetic resection of prostate.Intraoperative blood loss，operative time，time for installing catheter，postoperative hospitalization stay and other aspects of patients were stated.IPSS，QOL，maximum urinary flow rate Qmax，residual urine PVR and other aspects before operation and 3 months after operation were compared. Results Intraoperative blood loss of younger patients were less （t=-1.913，P=0.029） and their operative time was shorter （P>0.05）.After operation，time for installing catheter and postoperative hospitalization stay of younger patients were both shorter than those of older patients （P<0.01）.After operation，patients had a better curative effect.There was statistical significant in Qmax，PVR，IPSS score and QOL score after operation and after operation，P<0.01. Conclusion Transurethral plasma kinetic resection of prostate in treatment of patients with senile obstructive prostatic hyperplasia has a good effect and better postoperative rehabilitation，which is worthy of clinical promotion.

[Key words] Senile obstructive；Prostatic hyperplasia；Transurethral plasma kinetic resection of prostate

前列腺增生（benign prostatic hyperplasia，BPH）是常見的中老年泌尿科疾病之一[1]。随着目前人口老龄化不断加剧。前列腺增生的发病率正逐年上升。并且有调查显示，城镇中发病情况显著高于乡村地区，而且人种差异也会影响增生的严重程度等[2]。目前手术治疗仍为该疾病的主要治疗方法，但是随着医疗技术的不断发展，微创治疗技术的盛行使得老年梗阻性前列腺增生的治疗有了更多的手术方法[3]。本次研究采用前列腺等离子电切术针对我院入组患者进行手术，探讨临床疗效以及预后。现报道如下。

1 资料与方法

1.1 一般资料

选取2014年1月～2015年12月间我院入组的老年梗阻性前列腺增生患者为研究对象，共计90例。年龄59～72岁，平均（65.8±3.3）岁，病程5～10年，平均（7.2±1.2）年。所有患者入院后均确诊为前列腺增生，并且伴有明显的梗阻及临床病症。患……