两种经尿道等离子前列腺切除术治疗BPH疗效比较

Comparison of efficacy and safety between transurethral enucleation and resection of prostate in patients with benign prostatic hyperplasia by plasma kinetics

目的:对经尿道等离子腔内剜除(PKERP)及经尿道等离子电切(PKRP)治疗BPH的疗效及安全性进行比较。方法:回顾分析2009年至2011年由单个泌尿外科医生完成的29例PKERP与21例PKRP,分别对两组患者的手术时间、术后导尿管留置时间、术后膀胱冲洗时间、血红蛋白变化值、输血率、住院天数、前列腺症状评分(IPSS)、生活质量指数(QOL)、术后并发症等进行统计学分析。结果:PKERP组及PKRP组在手术时间、术后膀胱灌注冲洗时间、血红蛋白变化值、导尿管留置时间、住院天数、输血率、并发症发生率等方面差异均无统计学意义,两组患者术后随访前列腺症状评分及生活质量指数较术前有明显改善,但组间比较差异无统计学意义。结论:PKERP与PKRP手术安全性及近期疗效相似。两者均为治疗BPH安全、有效的治疗手段。

Objective:To compare the efficacy and safety between plasma kinetic enucleation resection of the prostate(PKERP)and transurethral plasmakinetic prostate resection(PKRP)in treating benign prostatic hyperplasia(BPH).Methods:We retrospectively reviewed 29 cases treated with PKERP and 21 cases treated with PKRP by a single doctor between 2009 and 2011.Surgical time,catheterization time,vesical irrigation time,change of hemoglobin,blood transfusion rate,hospitalization,IPSS and QOL scores and postoperative complications were compared between the two groups.Results:Compared the PKRP group,surgical-time,postoperative bladder irrigation time, change of Hemoglobin,blood transfusion rate,catheterization time and hospitalization,complications were all similar.IPSS and QOL scores of 2 groups were obviously improved compared with the preoperative scores,but they were similar between the two groups.Conclusions:Both PKERP and PKRP were equally efficent and can be safe performed in patients with BPH.