论文部分内容阅读
目的通过比较,评价腹腔镜与经尿道等离子逆行剜除手术(PKEP)行大体积前列腺切除术治疗良性前列腺增生(BPH)的临床价值。方法回顾性分析腹腔镜及PKEP手术行大体积前列腺切除术的临床资料,就两组手术的手术时间、术中出血量、术后膀胱冲洗及尿管留置时间、术后止痛剂的用量、术后住院时间、住院费用、术后恢复轻体力劳动的时间、术后并发症、两种手术方式术前与术后国际前列腺症状评分(IPSS)、平均生活质量评分(QOL)及最大尿流率(Qmax)等指标进行比较。结果腹腔镜组与PKEP组术中的出血量、术后膀胱冲洗及尿管留置时间、术后止痛剂的用量、术后住院时间、术后恢复轻体力劳动的时间、住院总费用及术后并发症等方面的差异无显著性(P>0.05);两组术后IPSS、QOL及Qmax等指标较术前明显改善(P<0.01);PKEP组在手术时间方面优于腹腔镜组,差异有显著性(P<0.05)。结论两种术式治疗大体积BPH均有满意疗效,具有有效、安全及微创等优点,但PKEP在手术时间方面更有优势,是可供选择的治疗大体积BPH较为理想的方法,值得推广应用。
Objective To evaluate the clinical value of laparoscopic and transurethral plasma retrograde resection (PKEP) in the treatment of benign prostatic hyperplasia (BPH) by mass prostatectomy. Methods The clinical data of large-volume prostatectomy performed by laparoscopy and PKEP were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative bladder irrigation and catheter indwelling time, the amount of analgesics after operation, Hospital stay, postoperative recovery time of light physical labor, postoperative complications, preoperative and postoperative International Prostate Symptom Score (IPSS), mean quality of life score (QOL) and maximal uroflow rate (Qmax) and other indicators were compared. Results The intraoperative blood loss, postoperative bladder irrigation and catheter indwelling time, postoperative analgesic dosage, postoperative hospital stay, postoperative recovery of light manual labor, total cost of hospitalization and postoperative (P> 0.05). The indexes of IPSS, QOL and Qmax were significantly improved in both groups after operation (P <0.01). The PKEP group was superior to laparoscopic group in operation time, the difference was statistically significant There was significant (P <0.05). Conclusions Both of the two methods have satisfactory curative effect in treating massive BPH, which is effective, safe and minimally invasive. However, PKEP is more advantageous in terms of operation time and is an ideal method for treating large-volume BPH. It is worth promoting application.