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

Abstract

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

CLC Number:

R699

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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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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