等离子前列腺剜除术与电切术治疗前列腺增生症的疗效分析

The comparative analysis for the efficacy of the therapeutic effect of Plasma kinetic enucleation of prostate and Plasma kinetic resection of the prostate

目的:对比经尿道等离子前列腺剜除术(PKEP)和等离子电切术(PKRP)治疗BPH的疗效.方法:回顾性分析2007年5月～2012年12月经PKEP和PKRP治疗528例BPH患者患者资料,比较两组术后膀胱冲洗时间、留置导尿管时间、膀胱痉挛发生率、术后平均住院时间及手术主要并发症、术前术后剩余尿量(PVR)的变化、最大尿流率(Qmax)、国际前列腺症状评分(IPSS)、生活质量(QOL)评分等情况.结果:两组在膀胱冲洗时间、留置导尿管时间、膀胱痉挛发生率、平均住院时间、手术主要并发症等方面差异有统计学意义(P＜0.05);两组患者PVR、Qmax、IPSS、QOL评分均较术前明显改善,差异有统计学意义(P＜0.05),两组之间比较差异无统计学意义(P＞0.05).结论:PKEP与PKRP相比,两组疗效相近,PKEP具有并发症少,术后恢复快等优势,是治疗前列腺增生安全、有效、较为理想的方法.

Objective:To compare the therapeutic effect of Plasma kinetic resection of the prostate(PKEP)and Plasma kinetic enucleation of prostate(PKRP)in curing benign prostate hyperplasia(BPH).Methods:The 528patients with BPH who underwent PKRP(374)and PKEP(158)between May 2007and December 2012were analyzed retrospectively.Compare and analyze the difference of bladder douche time,urethral catheter detaining time,the incidence of bladder spasm,mean hospitalization time,the main complication,and the change of PVR,Qmax,IPSS,QOL in postoperative patient between two groups.Results:There were significant differences of bladder douche time,urethral catheter detaining time,the incidence of bladder spasm,mean hospitalization time,the main complication between PKRP group and PKEP group;compare to the preoperative examinations,the PVR,Qmax,IPSS,QOL have been greatly improved and appear significant differences(P<0.05);and there is no significant difference between the two operation groups.(P>0.05).Conclusions:In the two PKRP group and PKEP group,they have the similar efficacy,however,the PKEP group has the advantage of less complications and faster postoperative recovery,which is great safety,and high efficacy and ideal treatment in benign prostate hyperplasia.