| Objective:To explore the gouge plasma prostate urethra except for the clinical curative effect of treatment of benign prostatic hyperplasia.Studied in this paper by comparing the transurethral plasma cutting technique of prostate and transurethral plasma gouging out except for the treatment of benign prostatic hyperplasia of prostate,the clinical curative effect,discuss transurethral plasma gouging out except for the treatment of benign prostatic hyperplasia of prostate clinical advantages,in order to better guide clinical treatment.Methods: A total of 132 patients with benign prostatic hyperplasia(BPH)were enrolled in our hospital from January 2015 to June 2016,By B ultrasound,rectal examination,CT and other tests confirmed benign prostatic hyperplasia.132 patients were divided into observation group and control group according to different surgical methods,There was no significant difference in age,sex,course of disease,preoperative QOL score and IPSS score between the two groups(P> 0.05).Two sets of data are comparable.Observation group with transurethral plasma gouging out of prostate in addition to surgery treatment,control group adopts transurethral plasma prostate electricity cut method.The operative time,intraoperative blood loss,intraoperative resection rate,postoperative bladder rinse time,indwelling catheterization time and hospitalization time,postoperative complications and long-term curative effect were compared between the two groups.Results:(1)Control patients average operation time(70.6±10.5)min,average intraoperative blood loss(208.35 + 22.15)ml,average removal surgery organization quantity(55.6±10.3)g;Observation group of patients on average operation time(72.5±11.3)min,average intraoperative blood loss(120.50±18.06)ml,average surgery resection group(71.6±15.5 g).Compared two groups,two groups of operation time has no obvious difference(P > 0.05),the average blood loss in the operation observation group was obviously less than control group and observation group removing tissue volume significantly more than the control group,compared two groups,the difference was statistically significant(P < 0.05).(2)Bladder washing time after operation in control group were(2.1±0.4)d,catheterization time(5.1±1.2)d,the average hospitalization time(10.1±3.6)d;bladder irrigation time of patients in the observation group(1.6±0.3)d,catheterization time(3.5±1.6)d,the average hospitalization time(7.6±2.2)d.Compared with the two groups,the observation group of patients with bladder irrigation time,indwelling catheterization time,the average length of hospital stay was significantly less than the control group,the difference was statistically significant(P < 0.05).(3)All patients were followed up for 6 months,the incidence of postoperative complications in the control group was 22.86%,and the incidence of postoperative complications in the observation group was 8.06%.Compared with the two groups,the incidence of postoperative complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P < 0.05).(4)All patients were treated with 6 months of follow-up,patients in the control group preoperative QOL score(4.6 + 0.7),6 months after surgery,QOL score(3.1±1),preoperative IPSS score(18.6±2.9),6 months after surgery,IPSS score(8.8±1.6);patients the preoperative QOL score of observation(4.5±0.8),6 months after surgery,QOL score(2.9±0.9),preoperative IPSS score(19.1±3.2),6 months after surgery,IPSS score(8.7 ±1.8)points.The QOL and IPSS scores of the two groups were significantly improved compared with those before operation in the 6 months after surgery,and the difference was statistically significant(P < 0.05).There was no significant difference in QOL and IPSS scores between the 6 groups before and after the operation(P > 0.05)between the two groups.Conclusion:(1)Observation group compared with control group,transurethral plasma electricity cut method(control group)of the prostate and transurethral plasma prostate gouge out except for decompression surgery(observation group)no difference between the two groups of operation time,average blood loss in the operation observation group was obviously less than control group and observation group removing tissue volume significantly greater than the control group.(2)Observation group compared with control group and observation group of patients with postoperative bladder washing time,indwelling catheter time,average hospitalization time significantly less than the control group.(3)All patients were followed up for 6 months.The incidence of postoperative complications in the observation group was significantly lower than that in the control group.(4)In terms of long-term efficacy,the QOL and IPSS scores of the two groups were significantly improved compared with those before the operation at the end of the 6 months.There was no significant difference in QOL and IPSS score between the 6 groups before and after operation in the two groups. |
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