卫生监督所
论著·临床论坛CHINESE COMMUNITY DOCTORS 中国社区医师2020年第36卷第19期良性前列腺增生患者主要为老年男性，患者临床症状有尿频、尿急、排尿困难等，如果治疗不当，患者甚至会出现肉眼血尿、反复泌尿系统感染、肾脏积水等症状，进而影响患者生活质量。对于良性前列腺增生患者，药物治疗无效的，可采用手术治疗方案，在本次研究中，2017年6月-2019年6月收治良性前列腺增生患者80例，对经尿道前列腺钬激光剜除术与前列腺等离子电切术在良性前列腺增生患者治疗中的应用方式及对于患者术后尿失禁发生率的影响进行深入研究。资料与方法2017年6月-2019年6月收治良性前列腺增生患者80例，根据手术方案不同分为参照组和试验组，各40例。两组患者一般资料比较，差异无统计学意义(P ＞0.05)，具有可比性。纳入标准：①无泌尿系统感染或原有泌尿系统感染术前已得到有效控制，无可能导致神经源性膀胱功能障碍的脑梗死、脑出血、椎管狭窄、腰椎间盘突出等病史，无下尿路损伤病史及手术史，无尿道狭窄病史；②年龄60～83岁且均伴不同程度的下尿路梗阻症状；③术前1周均无阿司匹林、华法林等抗凝药物服用史，术前检查无手术禁忌证。④术前血清前列腺特异性抗原(PSA)＜4μg/L 或PSA≥4μg/L 但已行前列腺磁共振及经会阴前列腺穿刺；⑤国际前列腺症状评分(IPSS)＞7分，生活质量评分(QOL)＞4分；⑥活组织病理检查提示前列腺增生，直肠指检示前列腺增大，B 超检查前列腺体积(PV)50～120mL，尿doi:10.3969/j.issn.1007-614x.2020.19.021
摘要目的：研究经尿道前列腺钬激光剜除术与前列腺等离子电切术对良性前列腺增生患者术后尿失禁发生率的影
响。方法：2017年6月-2019年6月收治良性前列腺增生患者80例，随机分为两组，各40例。参照组采用前列腺等离
子电切术。试验组采用经尿道前列腺钬激光剜除术治疗。比较两组治疗效果。结果：试验组手术时间及留置导管时间
均短于参照组，术中出血量少于参照组，试验组拔除导尿管后24h、1周和1个月尿失禁发生率均低于参照组，试验
组拔除导尿管后24h 尿失禁发生程度优于参照组，差异均有统计学意义(P ＜0.05)。两组拔除导尿管后1周和1个月术
后尿失禁程度比较，差异无统计学意义(P ＞0.05)。结论：在对良性前列腺增生患者进行治疗时，可采用经尿道前列腺
钬激光剜除术与前列腺等离子电切术，其中经尿道前列腺钬激光剜除术后尿失禁发生率较低，拔除导尿管后24h 尿焗饭的做法
迷你世界电梯失禁发生程度比较好，有利于术后快速恢复，改善生活质量。
关键词钬激光剜除术；等离子电切术；术后尿失禁
文科女生最吃香的专业Comparison of the incidence of urinary incontinence after transurethral holmium lar enucleation of the prostate and
plasma prostatectomy
旅游人类学Liu Kun
The People's Hospital of Honggang District,Zunyi City,Guizhou Zunyi 563000
Abstract Objective:To study the effects of transurethral holmium lar enucleation of prostate and plasma prostatectomy on the
incidence of postoperative urinary incontinence in patients with benign prostatic hyperplasia.Methods:From June 2017to June
2019,80patients with benign prostatic hyperplasia were lected,they were randomly divided into the two groups with 40cas in
each group.The control group was treated with plasma rection of prostate.The experimental group was treated with transurethral
春的行书holmium lar enucleation of the prostate.The therapeutic effects of the two groups were compared.Results:The operation time and
indwelling catheter time in the experimental group were shorter than tho in the control group,and the amount of intraoperative
bleeding in the experimental group was less than that in the control group.The incidence of urinary incontinence at 24hours,1
week and 1month after catheter removal in the experimental group was lower than that in the control group.The degree of urinary
incontinence in the experimental group was better than that in the reference group 24hours after the catheter was removed,the
differences were statistically significant(P ＜0.05).There was no significant difference in the degree of urinary incontinence
between the two groups 1week and 1month after catheter removal(P ＞0.05).Conclusion:Transurethral holmium lar enucleation
of prostate and plasma rection of prostate can be ud in the treatment of patients with benign prostatic hyperplasia,in which the
色戒影评incidence of urinary incontinence after transurethral holmium lar enucleation of prostate is low,the incidence of 24-hour urinary
incontinence after the removal of catheter is better,which is beneficial to the rapid recovery after operation and improve the
quality of life.
Key words Holmium lar enucleation;Plasma rection;Postoperative urinary incontinence
经尿道前列腺钬激光剜除术
与前列腺等离子电切术术后发生尿失禁情况比较
刘鲲
563000遵义市红花岗区人民医院，贵州遵义
承诺做某事英语
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