【摘要】 目的分析经尿道电切术在高危前列腺增生中的临床应用价值。方法选取2011年3月至2013年10月在天门市中医医院进行治疗的高危前列腺增生患者58例,根据患者接受治疗方式的不同分为分别为经尿道双极电切组(29例)和经尿道电切组(29例)。观察比较两组患者术中、术后各相关指标及术后并发症情况。结果经尿道双极电切组的手术时间和术中出血量显著少于经尿道电切组[(45±6)min比(60±10)min,(107±11)m L比(146±13)m L],而手术切除前列腺质量显著大于经尿道电切组[(58±8)g比(50±10)g],差异均有统计学意义(P<0.01)。经尿道双极电切组术后留置尿管时间、术后住院时间和国际前列腺症评分均显著低于经尿道电切组[(3.6±1.0)d比(5.0±1.2)d,(5.2±1.9)d比(7.6±2.5)d,(4.4±2.2)分比(5.6±2.2)分],而术后血红蛋白、最大尿流率均显著高于经尿道电切组[(124±6)g/L比(118±6)g/L,(21.0±2.1)m L/s比(16.5±3.6)m L/s],差异均有统计学意义(P<0.01)。结论经尿道双极电切术能有效治疗高危前列腺增生,手术疗效好,值得临床推广。更多还原

【Abstract】 Objective To analyze the clinical value of transurethral plasmakinetic prostatectomy in the treatment of high risk benign prostate hyperplasia.Methods Total of 58 patients with high risk benign prostate hyperplasia admitted to Tianmen City Chinese Medicine Hospitalfrom Mar.2011 to Oct.2013 were included in th study,the patients were divided into transurethral bipolar resection group( 29 cases) and transurethral resection group( 29 cases) according to the ways of therapy.The indexes during surgery,after surgery and complications after surgery were observed and analyzed.Results The surgery time and intraoperative bleedng in the bipolar transurethral resection group were significantly lower than the transurethral resection group[( 45 ± 6) min vs( 60 ± 10) min,( 107 ± 11) m L vs( 146 ± 13) m L],the resected prostate mass of the bipolar resection group was higher than the transurethral resection group[( 58 ± 8) g vs( 50 ± 10) g]( P < 0.01).Catheter indwelling time,the hospitalization time and the international prostate symptom score of the bipolar transurethral resection group were lower than the transurethral resection group[( 3.6 ± 1.0) d vs( 5.0 ± 1.2) d,( 5.2 ± 1.9) d vs( 7.6 ± 2.5) d,( 4.4 ± 2.2) scores vs( 5.6 ± 2.2) scores],postoperative hemoglobin and maximum urine flow rate of the bipolar transurethral resection group were higher than the transurethral resection group[( 124 ± 6) g / L vs( 118 ± 6) g / L,( 21.0 ± 2.1) m L / s vs( 16.5 ± 3.6) m L / s]( P <0.01).The incidence of complications in the bipolar transurethral resection group was lower than the transurethral resection group[3.4%( 1 /29) vs 17.2%( 5 /29) ]( P < 0.05).Conclusion Transurethral bipolar resection can effectively treat high risk prostate hyperplasia,with good curative effectand,thus is worthy of clinical promotion.更多还原