■为了探讨临床疗效的差异,并发症,经尿道前列腺等离子电切术(PKRP)常规方法与保留前列腺尖部尿道粘膜的方法治疗良性前列腺增生(BPH)的安全性。
■选取2018年12月至2021年3月秦皇岛市第一医院收治的PKRP患者共90例,分为对照组(常规PKRP,n=45)和观察组(PKRP保留前列腺尖部尿道粘膜,n=45)。临床疗效,安全,使用患者国际前列腺症状评分(IPSS)评估各组的性功能,生活质量(QoL),前列腺体积,最大流量(Qmax),后空隙残留物(PVR),失血,手术切除效率,和手术并发症数据。
■术前指标的差异,腺体切除术质量,两组间差异无统计学意义(P>0.05)。然而,在观察组中,手术时间和出血量明显低于对照组,切除效率明显更高,具有统计学意义(P<0.05)。在后续行动中,手术后一个月,观察组IPSS和QoL低于对照组,差异均有统计学意义(P<0.05);术后3个月,PVR,IPSS,QoL,两组之间的Qmax评分相似,无统计学意义(P>0.05)。就手术并发症而言,观察组拔除导尿管后尿失禁等并发症的发生率明显低于对照组,组间差异有统计学意义(P<0.05)。
■与常规PKRP相比,前列腺尖部保留尿道粘膜的PKRP可导致导管拔除后立即尿失禁,减少术中失血,缩短手术时间,从而提高手术效率。
UNASSIGNED: To explore the differences in the clinical efficacy, complications, and safety of transurethral plasmakinetic resection of the prostate (PKRP) by the conventional approach versus the approach preserving the urethral mucosa at the prostatic apex in the treatment of benign prostatic hyperplasia (BPH).
UNASSIGNED: A total of 90 patients with PKRP admitted to the First Hospital of Qinhuangdao from December 2018 to March 2021 were selected and divided into a control group (conventional PKRP, n = 45) and an observation group (PKRP with preserved urethral mucosa at the prostatic apex, n = 45). The clinical efficacy, safety, and sexual function of the groups were evaluated using the patients\' International Prostate Symptom Score (IPSS), quality of life (QoL), prostate volume, maximum flow rate (Qmax), post-void residual (PVR), blood loss, surgical resection efficiency, and surgical complication data.
UNASSIGNED: The differences in the preoperative indicators, glandectomy quality, and glandectomy rate between the groups were not statistically significant (P > 0.05). However, in the observation group, the surgery time and blood loss were significantly lower compared with the control group, and the resection efficiency was significantly higher, with statistical significance (P < 0.05). In the follow-up, one month after surgery, the IPSS and QoL were lower in the observation group than in the control group, and the differences were statistically significant (P < 0.05); three months after surgery, the PVR, IPSS, QoL, and Qmax scores were similar between the groups, with no statistical significance (P > 0.05). In terms of surgical complications, the incidences of urinary incontinence and other complications after catheter extraction were significantly lower in the observation group than in the control group, and the differences between the groups were statistically significant (P < 0.05).
UNASSIGNED: Compared with conventional PKRP, PKRP with preserved urethral mucosa at the prostatic apex can lead to immediate urinary continence after catheter extraction, reduce intraoperative blood loss, and shorten the surgery time, thus improving the surgical efficiency.