【摘要】 目的:探讨高危前列腺增生患者采用微创等离子前列腺电切术治疗的临床效果。方法:回顾性分析收治的107例确诊高危前列腺增生患者的手术治疗经过及术后随访结果,其中58例患者采用微创等离子前列腺电切术治疗(观察组)、49例患者采用前列腺电切术治疗(对照组),对两组患者的治疗效果进行比较。结果:观察组的手术时间(61.4±21.5)min、膀胱冲洗时间(20.5±6.7)min、手术出血量(93.5±24.9)ml、尿管留置时间(4.3±1.6)d、术后住院时间(5.6±1.8)d均显著的低于对照组,前列腺切除质量(54.2±21.50)g,显著高于对照组(P<0.05)。术后观察组的Qmax(22.5±4.8)ml/s、膀胱顺应性(25.1±5.3)ml/cm H2O显著的高于对照组(19.4±4.1)ml/s、(22.1±4.4)ml/cm H2O(P<0.05),观察组术后的最大逼尿肌压(63.7±8.5)cm H2O显著的低于对照组的(70.4±9.0)cm H2O。观察组的术后并发症率(32.76%)显著的低于对照组(53.06%)(P<0.05)。结论:高危前列腺增生患者采用微创等离子前列腺电切术治疗具有手术时间短、术后恢复快、效果可靠、并发症发生率低的优点。更多还原

【Abstract】 Objective:To investigate the clinical efficacy of minimally invasive plasma prostate resection in the treatment of patients with high risk benign prostatic hyperplasia(BPH).Methods:The surgical procedures of 107 cases of high risk BPH admitted to the Department of Urology,and the follow-up outcomes were retrospectively analyzed.Among them,58 patients were treated by minimally invasive plasma resection of the prostate(observation group)and 49 patients were given transurethral resection of prostate(control group).The therapeutic effectiveness was compared between the two groups.Results:In the observation group,the operative time was(61.4±21.5)min,bladder irrigation time was(20.5±6.7)min,blood loss was(93.5±24.9)mL,catheter indwelling time of(4.3±1.6)d,postoperative hospital stay was(5.6±1.8)days,and the resected prostate weight was(54.2±21.5)g,which were significantly different from those in the control group(P<0.05 for all).Postopertively,Qmaxand bladder compliance in the observation group were significantly higher than in the control group[(22.5±4.8)vs.(19.4±4.1)mL/s,and(25.1±5.3)vs.(22.1±4.4)mL/cm H2 O respectively](P<0.05).The maximum detrusor pressure in the observation group[(63.7±8.5)cm H2O]was significantly lower than in the control group[(70.4±9.0)cm H2O].Postoperative complication rate in the observation group(32.76%)was significantly lower than in the control group(53.06%)(P<0.05).Conclusions:Minimally invasive plasma resection of the prostate for patients with high risk BPH has the advantages of short operation time,rapid postoperative recovery,reliable effect,and low incidence of complications.更多还原