2种术式治疗前列腺增生的近期疗效比较

Recent Curative Effect Compare of Two Surgical Methods in Treating Benign Prostatic Hyperplasia

目的比较经尿道前列腺电切术(TURP)与经尿道前列腺等离子汽化切除术(PKRP)治疗前列腺增生(BPH)的近期疗效。方法以2008年3-11月南昌大学第二附属医院泌尿外科收治的BPH患者73例作为对照组,行TURP治疗;以2008年12月-2009年6月同科室收治的BPH患者61例作为治疗组,行PKRP治疗;观察2组患者的手术时间、术中出血量、术前和术后15d的国际前列腺症状评分(IPSS)、残余尿量(RUV)、最大尿流率(Qmax)、生活质量评分(QOL)及术后并发症的情况。结果治疗组平均手术时间稍长于对照组,但差异无统计学意义(P>0.05);治疗组术中出血量、术后并发症发生率均明显低于对照组(P<0.05或P<0.01);2组术后15dIPSS、RUV、Qmax、QOL值与术前比较差异均有统计学意义(均P<0.01),但治疗组术后15dIPSS、RUV、Qmax、QOL值与对照组比较差异均无统计学意义(均P>0.05)。结论PKRP治疗效果优于TURP,是目前治疗BPH理想的方法。

Objective To evaluation the curative effect of transurethral resection of prostate（TURP）and transurethral plasmakinetic vaporize resection of prostate（PKRP）for the treatment of symptomatic benign prostatic hyperplasia（BPH）in the near future.Methods From March 2008 to November in the Urology Second Affiliated Hospital of Nanchang University,73 patients who were diagnosised BPH served as control group,line TURP treatment;and in December 2008 to June 2009 in the same unit,61 patient with BPH as a treatment group,line PKRP treatment.Observed two groups of patients with operative time,bleeding volume,preoperative and postoperative 15 days of IPSS,RUV,Qmax,QOL and postoperative complications.Results The treatment group the average operative time is a slightly longer than that in the control group,but the difference was not statistically significant（P〉0.05）;treatment group,bleeding volume,postoperative complications occurrence were significantly lower than the control group（P〈0.05 or P〈0.01）;two groups postoperative 15 days of IPSS,RUV,Qmax,QOL compared with the preoperative value differences were statistically significant（all P〈0.01）,the treatment group after 15 days of IPSS,RUV,Qmax,QOL values compared with the control group had no statistically significant difference（all P〉0.05）.Conclusion PKRP treatment is superior to TURP at present,is the ideal treatment of BPH.