保留前叶在等离子前列腺剜除术中的疗效观察

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Abstract Objective To study the effect of preserving anterior lobe in plasmakinetic transurethral enucleation of prostate. Methods From October 2017 to January 2019, the clinical data of 80 patients diagnosed with benign prostatic hyperplasia in Department of Urology, the Second Affiliated Hospital of Kunming Medical University were collected. All patients underwent plasmakinetic transurethral enucleation of prostate. According to whether the prostatic anterior lobe was retained or not, the patients were divided into non-retained group and retained group, with 40 cases in each group. Post void residual urine volume (PVR), maximum urinary flow rate (Q-max), international prostate symptom score (IPSS), quality of life score(QOL) after 6 months after surgery, the incidence of postoperative urinary incontinence, patient quality of life score and clinical treatment effect were compared between the two groups. Results There was no significant difference in PVR and Q-max scores between the two groups (P ＞ 0.05). IPSS and QOL scores of the retained group were lower than those of the non-retained group, and the differences were statistically significant (all P ＜ 0.05). The incidence of postoperative urinary incontinence in the retained group was lower than that in the non-retained group, and the difference was statistically significant (P ＜ 0.05). The improvement of quality of life in the retained group was higher than that in the non-retained group, and the difference was statistically significant (P ＜ 0.05). The treatment effect of the retained group was better than that of the non-retained group, and the difference was statistically significant (all P ＜ 0.05). Conclusion Plasmakinetic transurethral enucleation of prostate to protect the anterior lobe of the prostate is an effective surgical method, which can reduce the incidence of postoperative urinary incontinence.

Key words： Plasmakinetic enucleation of the prostate Benign prostatic hyperplasia Urinary control structure Minimally invasive surgery

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	XIONG Bobo1* GUO Yong2* ZHANG Jinsong1▲ WANG Haifeng1 ZUO Yigang1 WANG Jiansong1

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XIONG Bobo1* GUO Yong2* ZHANG Jinsong1▲ WANG Haifeng1 ZUO Yigang1 WANG Jiansong1. Observation on the effect of preserved anterior lobe in plasmakinetic transurethral enucleation of prostate[J]. 中国医药导报, 2019, 16(30): 73-76.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I30/73

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