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目的比较经尿道前列腺等离子双极汽化电切术(PKRP)与经膀胱前列腺切除术(开放式手术)治疗前列腺增生症(BPH)的临床效果,并对其治疗安全性进行评价。方法将BPH患者84例随机分为2组各42例。开放式手术组患者采用经膀胱前列腺切除术进行治疗,PKRP组患者则采用PKRP进行治疗。对2组患者的手术时间、术中出血量、术中输血量、患者术后膀胱冲洗时间、留置尿管时间、术后下床时间、术后进食时间、术后住院时间以及患者治疗后的并发症发生情况等进行记录并对比分析。结果 PKRP组患者的术中出血量及术中输血量均少于对照组,手术时间、患者术后膀胱冲洗时间、留置尿管时间、术后下床时间、术后进食时间及术后住院时间等均显著短于开放式手术组患者,差异均有统计学意义(P<0.05)。治疗后PKRP组患者治疗后的膀胱刺激症发生率显著低于开放式手术组,差异有统计学意义(P<0.05)。2组患者尿外渗、尿失禁、尿道狭窄及术后出血发生率比较差异无统计学意义(P>0.05)。结论 PKRP及开放手术治疗BPH均有较好的临床治疗效果,但采用PKRP能显著改善患者治疗过程中各相关临床指标,并有效降低相关并发症发生率,值得临床广泛推广应用。
Objective To compare the clinical effects of transurethral prostatic bipolar vaporization (PKRP) and transurethral resection of the prostate (BPH) for the treatment of benign prostatic hyperplasia (BPH) and evaluate the safety of its treatment. Methods 84 patients with BPH were randomly divided into two groups of 42 cases. Patients in the open surgery group were treated with transurethral resection of the prostate, and patients in the PKRP group were treated with PKRP. The operation time, intraoperative blood loss, intraoperative blood transfusion, postoperative bladder irrigation time, indwelling catheter time, postoperative ambulation time, postoperative eating time, postoperative hospital stay and postoperative treatment of patients in two groups Complications and other conditions were recorded and compared. Results The amount of intraoperative blood loss and intraoperative blood transfusion in the PKRP group were less than those in the control group. The operation time, postoperative bladder irrigation time, indwelling catheter time, postoperative ambulation time, postoperative ingestion time and postoperative hospital stay Were significantly shorter than those in open surgery group, the differences were statistically significant (P <0.05). After treatment, the incidence of bladder irritation in PKRP group was significantly lower than that in open surgery group, the difference was statistically significant (P <0.05). There was no significant difference in the incidence of exudation, urinary incontinence, urethral stricture and postoperative bleeding between the two groups (P> 0.05). Conclusions Both PKRP and open surgical treatment of BPH have a good clinical therapeutic effect. However, the use of PKRP can significantly improve the clinical indicators of patients during treatment, and effectively reduce the incidence of complications, it is worth widely clinical application.