经尿道前列腺等离子电切术治疗前列腺增生症的效果观察

Effect observation of transurethral plasmakinetic resection of prostate for treatment of benign prostatic hyperplasia

目的探讨经尿道前列腺等离子电切术(TUPKRP)治疗良性前列腺增生症(BPH)的优越性。方法将96例BPH患者随机分为TUPKRP组和经尿道前列腺切除术(TURP)组,每组各48例,分别给予TUPKRP和TURP治疗,观察两组患者治疗前后的国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(MFR)、膀胱残余尿(RUV)、手术时间、术中出血量、术后住院时间及并发症情况。结果 TUPKRP组治疗后IPSS、QOL评分及MER、RUV与TURP组比较,差异有统计学意义(P<0.05);TUPKRP组的手术时间、术中出血量、导尿管留置时间、住院时间及并发症发生率与TUBR组比较,差异有统计学意义(P<0.05)。结论 TUPKRP治疗BPH具有疗效好、损伤小、并发症少等优点,且适应证较广,具有较好的应用前景。

Objective To explore the superiority of transurethral plasmakinetic resection of prostate （TUPKRP） for treatment of benign prostatic hyperplasia （BPH）. Methods 96 patients with BPH were randomly assigned to the TUP- KRP group and the transurethral resection of the prostate （TURP） group,with 48 cases in each group.The two groups were given TUPKRP and TURP respectively.The international prostate symptom score （IPSS）,quality of life （QOL） scale, maximum flow rate （MFR）,residual urine volume （RUV）,duration of operation,intraoperative blood loss,postoperative hos- pital stay and complications before and after treatment were compared between the two groups. Results The IPSS,QOL, MER and RUV in TUPKRP group after treatment compared with the TURP group,the difference were statistically sig- nificant （P〈0.OS）.The duration of operation,less intraoperative blood loss,shorter catheter duration,hospital stay and low- er complication rate in TUPKRP group compared with the TUBR group,the difference were statistically significant （P〈 0.05）. Conclusion TUPKRP has a good efficacy,little damage and few complications for treatment of BPH.TUPKRP has wide range of indications and great application prospects.