前列腺突入膀胱程度对前列腺增生患者前列腺等离子电切术后效果的预测评估作用

doi:10.3969/j.issn.2095-378X.2019.03.011

外科研究与新技术 ›› 2019, Vol. 8 ›› Issue (3): 183-186.doi: 10.3969/j.issn.2095-378X.2019.03.011

前列腺突入膀胱程度对前列腺增生患者前列腺等离子电切术后效果的预测评估作用

翁海兵, 沈银奎, 钱声华

吴江区中医医院泌尿外科,苏州 215000

收稿日期:2019-06-19 出版日期:2019-09-28 发布日期:2019-12-05
作者简介:翁海兵(1978—),男,大学本科,副主任医师,从事临床泌尿外科工作;电子信箱:yo0262@163.com

Prediction and evaluation of postoperative effect of plasmakinetic resection of the prostate in patients with benign prostatic hyperplasia using intravesical prostatic protrusion

WENG Haibing, SHEN Yinkui, QIAN Shenghua

Department of Urology Surgery, Wujiang District Hospital of Traditional Chinese Medicine, Suzhou 215000, China

Received:2019-06-19 Online:2019-09-28 Published:2019-12-05

摘要/Abstract

摘要： 目的分析前列腺突入膀胱程度(IPP)对前列腺增生患者前列腺等离子电切术后效果的预测评估作用。方法选取2016年5月—2018年11月期间收治的72例前列腺增生患者,根据前列腺突入膀胱程度(IPP)分为IPP显著组(IPP≥5 mm)和IPP非显著组(IPP＜5 mm)各36例。所有患者均行前列腺等离子电切术治疗,测量IPP值,对比两组前列腺症状评分(IPSS)、前列腺特异性抗原(PSA)、最大尿流量(Q_max)、残余尿量(PVR)及生活质量量表(QoL)评分。结果术前两组IPSS、QoL评分对比,差异无统计学意义(P＞0.05)。术后两组IPSS、QoL评分均较术前低,且IPP显著组较IPP非显著组低,差异有统计学意义(P＜0.05)。术前两组Q_max、PVR水平对比,差异无统计学意义(P＞0.05)。术后两组Q_max水平均较术前高,PVR水平均较术前低,差异有统计学意义(P＜0.05)。术后IPP显著组Q_max、PVR水平与IPP非显著组对比,差异无统计学意义(P＞0.05)。结论 IPP可作为预测前列腺增生患者前列腺等离子电切术后效果IPSS、QoL评分的重要指标,操作简单,重复性好,患者易接受,且具有无创特点,值得临床推广应用。

关键词: 前列腺增生, 前列腺突入膀胱程度, 前列腺等离子电切术, 术后效果, 预测评估

Abstract: Objective To analyze the value of intravesical prostatic protrusion (IPP) in predicting and evaluating postoperative effect of plasmakinetic resection of the prostate (PKRP) in patients with benign prostatic hyperplasia (BPH).Methods A totoal of 72 patients with BPH in our hospital from May 2016 to November 2018 were selected and divided into significant IPP group (IPP≥5 mm) and non-significant IPP group (IPP<5mm) according to IPP, with 36 cases in each group.All patients underwent PKRP, and the IPP value was measured.International Prostate Symptom Score (IPSS), Prostate specific antigen (PSA), maximum flow rate (Q_max), postvoid residual volume (PVR), and quality of life (QoL) were compared between the two groups.Results Before surgery, there was no statistical difference in the scores of IPSS and QoL between the two groups (P>0.05).After surgery, the scores of IPSS and QoL in the two groups were lower than those before surgery, and the scores in the significant IPP group were lower than the scores in the non-significant IPP group (P<0.05).Before surgery, there was no statistical difference in the levels of Q_max and PVR between the two groups (P>0.05).After surgery, the levels of Q_max were higher and the levels of PVR were lower in the two groups than those before surgery (P<0.05), and there was no statistical difference in the levels of Q_max and PVR between the significant IPP group and the non-significant IPP group (P>0.05).Conclusion IPP can be used as an important index to predict the IPSS and QoL scores in patients with BPH after PKRP.It is easy to operate, repetitive, patient friendly, and non-invasive, thus it is worthy of clinical promotion and application.

Key words: Benign prostatic hyperplasia, Intravesical prostatic protrusion, Plasmakinetic resection of the prostate, Postoperative effect, Prediction and evaluation

中图分类号:

R699

翁海兵, 沈银奎, 钱声华. 前列腺突入膀胱程度对前列腺增生患者前列腺等离子电切术后效果的预测评估作用[J]. 外科研究与新技术, 2019, 8(3): 183-186.

WENG Haibing, SHEN Yinkui, QIAN Shenghua. Prediction and evaluation of postoperative effect of plasmakinetic resection of the prostate in patients with benign prostatic hyperplasia using intravesical prostatic protrusion[J]. Surgical Research and New Technique, 2019, 8(3): 183-186.

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前列腺突入膀胱程度对前列腺增生患者前列腺等离子电切术后效果的预测评估作用

Prediction and evaluation of postoperative effect of plasmakinetic resection of the prostate in patients with benign prostatic hyperplasia using intravesical prostatic protrusion

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