黄考平 李钟 温世和 刘岚

[摘要]目的 探討经尿道前列腺等离子电切术治疗良性前列腺增生的临床效果。方法 回顾性分析我院于2015年1月～2019年6月收治的138例良性前列腺增生患者的临床资料，依据患者所接受的治疗方案将其分为对照组（69例）与观察组（69例），对照组患者采用经尿道前列腺电切术治疗，观察组患者采用经尿道前列腺等离子电切术治疗。比较两组患者的手术指标、前列腺症状评分剩余尿量，分析两组患者的阴茎勃起功能障碍发生率、逆行射精发生率。结果 观察组患者的手术耗时、术后膀胱冲洗时间以及留置导尿管时间均短于对照组，差异有统计学意义（P<0.05）;观察组患者的术中出血量、剩余尿量少于对照组，差异有统计学意义（P<0.05）;观察组患者的前列腺症状评分（IPSS评分）、阴茎勃起功能障碍发生率以及逆行射精发生率均低于对照组，差异有统计学意义（P<0.05）。结论 经尿道前列腺等离子电切术治疗良性前列腺增生的效果显著，其可促进患者机体康复。

[关键词]经尿道前列腺电切术;经尿道前列腺等离子电切术;良性前列腺增生

[中图分类号] R699.8          [文献标识码] A          [文章编号] 1674-4721（2020）7（a）-0101-03

Clinical effect of transurethral plasma resection of prostate in the treatment of benign prostatic hyperplasia

HUANG Kao-ping   LI Zhong   WEN Shi-he   LIU Lan

Department of Urology， People′s Hospital of Heyuan City， Guangdong Provinc， Heyuan   517000， China

[Abstract] Objective To investigate the clinical effect of transhepatic plasma resection of prostate in the treatment of benign prostatic hyperplasia （BPH）. Methods The clinical data of 138 patients with BPH treated in our hospital from January 2015 to June 2019 were analyzed retrospectively. According to the treatment scheme， the patients were divided into control group （69 cases） and observation group （69 cases）. The patients in the control group were treated with transurethral resection of prostate and the patients in the observation group were treated with transurethral prostatectomy. The surgical indexes and residual urine volume of prostate symptom score were compared between the two groups. The incidence rates of penile erectile dysfunction and retrograde ejaculation in the two groups were analyzed. Results The operation time， postoperative bladder irrigation time and indwelling catheter time of the patients in the observation group were shorter than those of the control group， the differences were statistically significant （P<0.05）. The amount of intraoperative blood loss and residual urine volume in the observation group were less than those of the control group， and the differences were statistically significant （P<0.05）. The prostate symptom score （IPSS score）， the incidence of penile erectile dysfunction and retrograde ejaculation in the observation group were lower than those of the control group， and the differences were statistically significant （P<0.05）. Conclusion Transhepatic plasma resection of prostate is effective in the treatment of BPH， which can promote the rehabilitation of patients.

[Key words] Transurethral resection of prostate; Transurethral plasma resection of prostate; Benign prostatic hyperplasia

前列腺增生在泌尿系统中属于较为常见的一种良性病变，临床多发于中老年人群，尿频、尿急、尿不尽、排尿困难等均为常见的临床表现，可对患者的生活质量产生严重影响[1]。目前临床主要采用手术的方式治疗前列腺增生，主要针对使用药物无法获得理想疗效的患者，其应用效果更为显著。传统术式极易导致患者发生包膜穿孔、电切综合征以及出血等病症，对患者术后生活质量的提升不利[2]。除此之外，临床中有部分患者在接受手术治疗后会出现阴茎勃起功能障碍的现象，极大程度上影响了患者的正常生活。本研究抽选在我院接受治疗的良性前列腺增生患者进行比较分析，旨在明确经尿道前列腺等离子电切术治疗良性前列腺增生的临床效果，现报道如下。……