经尿道双极等离子前列腺剜除术联合经尿道双极等离子前列腺电切术治疗前列腺增生症的疗效观察

Observation of Benign Prostatic Hyperplasia Treated by PKEP combined with PKRP

目的探讨经尿道双极等离子前列腺剜除术(PKEP)联合经尿道双极等离子电切术(PKRP)和单独PKRP手术治疗良性前列腺增生的疗效进行比较,提供一种更好的微创手术方法治疗前列腺增生症。方法对68例2014年3月至2015年3月BPH患者,均在我院行泌尿外科手术。根据手术的方法,将患者随机分为35例联合治疗组和33例PKRP组。比较两组的术后尿失禁及尿道狭窄发生率。结果联合组手术时间,术中出血量,手术切除前列腺的体积小于PKRP组,组间差异有统计学意义(P<0.05),联合组术后留置尿管时间,膀胱冲洗时间短于PKRP组,组间差异有统计学意义(P<0.05);两组尿失禁,尿道狭窄发生率差异无统计学意义(P>0.05)。结论两种手术方法治疗良性前列腺增生症是有效的。联合手术时间短,出血量少,而且恢复快,很适合前列腺增生手术推广。

Objective To investigate PKEP combined with PKRP surgery treatment,compaired with PKRP for the treatment of benign prostatic hyperplasia, which providing better methods of minimally invasive surgery. Methods 68 patients who suffered BPH were treated in our hospital from March 2014 to March 2015. According to the operation method, 35 cases were divided into the combined group and 33 cases in the PKRP group. The incidence of urinary incontinence and urethral stricture were compared between the two groups. Result The operation time, intraoperative bleeding volume, resection of the prostate weight of combined group was less than PKRP group, the difference was statistically significant（P〈0.05）; indwelling catheter time, bladder irrigation time were shorter in PKRP group than combined group after operation, the difference is statistically significant（P〈0.05）; two groups of urinary incontinence, urethral stricture occurrence rate was not statistically significant（P〉0.05）. Conclusion Two surgical methods are effective for the treatment of benign prostatic hyperplasia. The combined operation time was short, the amount of bleeding was short, and the recovery was fast, was worth to be popularized.