[1]陈仕杰,赵振华,赵国平.双极等离子改良电切术治疗前列腺中叶增生的效果[J].医学信息,2020,33(23):104-105.[doi:10.3969/j.issn.1006-1959.2020.23.029]
 CHEN Shi-jie,ZHAO Zhen-hua,ZHAO Guo-ping.Effect of Bipolar Plasma Modified Electrotomy on the Middle Lobe Hyperplasia of Prostate[J].Medical Information,2020,33(23):104-105.[doi:10.3969/j.issn.1006-1959.2020.23.029]
点击复制

双极等离子改良电切术治疗前列腺中叶增生的效果()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年23期
页码:
104-105
栏目:
临床研究
出版日期:
2020-12-01

文章信息/Info

Title:
Effect of Bipolar Plasma Modified Electrotomy on the Middle Lobe Hyperplasia of Prostate
文章编号:
1006-1959(2020)23-0104-02
作者:
陈仕杰赵振华赵国平
(广东省江门市人民医院泌尿外科,广东 江门 529000)
Author(s):
CHEN Shi-jieZHAO Zhen-huaZHAO Guo-ping
(Department of Urology,Jiangmen People’s Hospital,Jiangmen 529000,Guangdong,China)
关键词:
前列腺增生经尿道前列腺电切术双极等离子电切术
Keywords:
Hyperplasia of prostate glandTransurethral resection of prostateBipolar plasma resection
分类号:
R699.8
DOI:
10.3969/j.issn.1006-1959.2020.23.029
文献标志码:
A
摘要:
目的 探讨双极等离子改良电切术治疗中叶增生型前列腺增生的临床疗效及其安全性。方法 选择我院2016年1月~2019年12月收治的120例前列腺中叶增生型患者作为研究对象,随机分成对照组和观察组,每组60例,对照组采双极等离子传统电切术手术治疗,观察组采用双极等离子改良电切术手术治疗。比较两组手术时间、术中出血量及并发症发生情况,记录两组手术前后每天排尿次数、每次排尿量、最大尿流率(Qmax)、国际前列腺症状(IPSS)评分及生活质量(Qol)评分。结果 治疗后,两组每天排尿次数、每次排尿量、Qmax、IPSS评分及Qol评分均较治疗前改善,但两组比较,差异无统计学意义(P>0.05);观察组手术时间、术中出血量少于对照组,差异有统计学意义(P<0.05);治疗期间两组均未出现并发症。结论 与传统双极等离子电切术相比,双极等离子改良电切术治疗前列腺中叶增生效果良好,能缩短手术时间,减少术中出血,安全可靠。
Abstract:
Objective To investigate the clinical effect and safety of bipolar plasma modified electrotomy in the treatment of middle lobe hyperplasia of prostate.Methods 120 patients with middle-grade prostatic hyperplasia in our hospital from January 2016-December 2019 were selected as the subjects, Randomly divided into control and observation groups, 60 cases per group, The control group was operated on by bipolar plasma electroresection, The observation group was treated by bipolar plasma modified electric resection. To compare the time of operation, blood loss and complications between the two groups, The daily urination times, urine volume, maximum urine flow rate (Qmax), international prostate symptom (IPSS) score and quality of life (Qol) score were recorded before and after operation in the two groups.Results After treatment, the number of urination per day, the volume of urination per time, Qmax, IPSS score and Qol score of the two groups were improved compared with before treatment, but the difference between the two groups was not statistically significant (P>0.05); the operation time and intraoperative blood of the observation group were less than that of the control In the group,the difference was statistically significant (P<0.05 ); No complications occurred in both groups during the treatment.Conclusion Compared with traditional bipolar plasma resection, bipolar plasma modified resection has good effect in the treatment of middle lobe hyperplasia of prostate, which can shorten the operation time, reduce intraoperative bleeding, and is safe and reliable.

参考文献/References:

[1]张孝雄,吴健,罗德毅,等.经尿道双极等离子电切术治疗良性前列腺增生的疗效分析[J].西部医学,2015,27(2):200-202. [2]张常银,陈静辉,陶众杰,等.分区腺剜除术与双极等离子前列腺电切术治疗前列腺增生效果的比较研究[J].中国性科学,2018,221(6):15-18. [3]李国峰,曹晓明.激光和等离子技术在经尿道前列腺剜除术中的临床应用进展[J].现代泌尿外科杂志,2018,23(9):80-83. [4]胡波勇,龚仁杰,韩明,等.良性前列腺增生患者残余尿量对发生泌尿系感染的预测分析[J].临床外科杂志,2017,25(4):287-288. [5]萧超优,李军,王国锋.经尿道钬激光前列腺剜除术治疗良性前列腺增生的效果[J].河南医学研究,2020,29(7):92-93.

相似文献/References:

[1]朱 贺,周国明,韩晨阳.Bioz.com在TURP患者血流动力学变化监测及TURS的早期诊治中的应用[J].医学信息,2019,32(03):74.[doi:10.3969/j.issn.1006-1959.2019.03.023]
 ZHU He,ZHOU Guo-ming,HAN Chen-yang.Application of Bioz.com in Hemodynamic Monitoring of TURP Patients and Early Diagnosis and Treatment of TURS[J].Medical Information,2019,32(23):74.[doi:10.3969/j.issn.1006-1959.2019.03.023]
[2]陈 东.前列腺增生并膀胱结石者同期行前列腺剜除、膀胱切开取石治疗的疗效观察[J].医学信息,2019,32(06):133.[doi:10.3969/j.issn.1006-1959.2019.06.042]
 CHEN Dong.Therapeutic Effect of Concurrent Prostatectomy and Bladder Incision and Stone Removal for Benign Prostatic Hyperplasia and Bladder Stones[J].Medical Information,2019,32(23):133.[doi:10.3969/j.issn.1006-1959.2019.06.042]
[3]刘柏基,熊波波.代谢综合征与良性前列腺增生合并下尿路症状的关系 及治疗研究[J].医学信息,2019,32(17):28.[doi:10.3969/j.issn.1006-1959.2019.17.010]
 LIU Bai-ji,XIONG Bo-bo.Relationship between Metabolic Syndrome and Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms and Treatment[J].Medical Information,2019,32(23):28.[doi:10.3969/j.issn.1006-1959.2019.17.010]
[4]田进军,李 军,杨震宇,等.钬激光前列腺剜除术与传统TURP疗效及并发症比较[J].医学信息,2019,32(18):75.[doi:10.3969/j.issn.1006-1959.2019.18.023]
 TIAN Jin-jun,LI Jun,YANG Zhen-yu,et al.Comparison of Krypton Laser Prostatectomy and Traditional TURP Efficacy and Complications[J].Medical Information,2019,32(23):75.[doi:10.3969/j.issn.1006-1959.2019.18.023]
[5]刘和平.预判性加温干预在老年TURP患者麻醉苏醒期的 应用及效果探析[J].医学信息,2019,32(13):181.[doi:10.3969/j.issn.1006-1959.2019.13.060]
 LIU He-ping.Application and Effect of Predictive Warming Intervention in Anesthesia Recovery Period in Elderly Patients undergoing TURP[J].Medical Information,2019,32(23):181.[doi:10.3969/j.issn.1006-1959.2019.13.060]
[6]占海清.经尿道前列腺电汽化治疗前列腺增生合并前列腺炎的效果[J].医学信息,2019,32(24):109.[doi:10.3969/j.issn.1006-1959.2019.24.037]
 ZHAN Hai-qing.Effect of Transurethral Electrovaporization of Prostate on Prostatic Hyperplasia Combined with Prostatitis[J].Medical Information,2019,32(23):109.[doi:10.3969/j.issn.1006-1959.2019.24.037]
[7]郭 青,胡建明.同期手术治疗前列腺增生合并膀胱结石的临床疗效[J].医学信息,2020,33(09):101.[doi:10.3969/j.issn.1006-1959.2020.09.030]
 GUO Qing,HU Jian-ming.Clinical Effect of Simultaneous Surgical Treatment of Benign Prostatic Hyperplasia with Bladder Stones[J].Medical Information,2020,33(23):101.[doi:10.3969/j.issn.1006-1959.2020.09.030]
[8]罗杰鑫,卢远生,方少伟,等.良性前列腺增生电切术后再行钬激光剜除术的临床效果[J].医学信息,2020,33(24):101.[doi:10.3969/j.issn.1006-1959.2020.24.027]
 LUO Jie-xin,LU Yuan-sheng,FANG Shao-wei,et al.Clinical Effect of Holmium Laser Enucleation After Electroresection of Benign Prostatic Hyperplasia[J].Medical Information,2020,33(23):101.[doi:10.3969/j.issn.1006-1959.2020.24.027]
[9]童禹浩,李军文,叶子翔,等.经尿道前列腺电切术后尿道感染影响因素的Meta分析[J].医学信息,2021,34(11):69.[doi:10.3969/j.issn.1006-1959.2021.11.021]
 TONG Yu-hao,LI Jun-wen,YE Zi-xiang,et al.Meta Analysis of Influencing Factors of Urinary Tract Infection After Transurethral Resection of the Prostate[J].Medical Information,2021,34(23):69.[doi:10.3969/j.issn.1006-1959.2021.11.021]
[10]李文新.专病护士多维度护理干预对前列腺增生患者电切术后康复的影响[J].医学信息,2021,34(22):185.[doi:10.3969/j.issn.1006-1959.2021.22.057]
 LI Wen-xin.Effect of Multi-dimensional Nursing Intervention of Special Nurse on the Rehabilitation of Patients with Benign Prostatic Hyperplasia After Electrotomy[J].Medical Information,2021,34(23):185.[doi:10.3969/j.issn.1006-1959.2021.22.057]

更新日期/Last Update: 1900-01-01