经尿道等离子前列腺剜除术与前列腺气化电切术的临床疗效对比分析

Comparison Analysis of the Clinical Effects on Transurethral Plasmakenitic Enucleation of Prostate and Electro Vapor Prostatectomy

目的:比较经尿道等离子前列腺剜除术(PKEP)与气化电切术(TUVP)治疗前列腺增生的临床效果。方法:回顾性分析我院2009年1月至2011年1月收治的前列腺增生患者58例,其中23例采用经尿道等离子前列腺剜除术治疗,35例采用经尿道前列腺气化电切术治疗。分别比较两组患者的手术时间、术中出血量、腺体切除量、主要并发症发生率、术后3月最大尿流率(Qmax)、国际前列腺症状评分(IPSS)、生活质量指数评分(QOL)等情况。结果:两组患者在术中出血量、腺体切除量、并发症发生率方面有显著性差异(P<0.05),两组在手术时间、术后3月Qmax、IPSS、QOL方面无显著性差异(P>0.05)。结论:PKEP与TUVP相比,近期疗效相近,但术中出血更少、切除腺体更彻底、术后并发症发生率低,是治疗前列腺增生安全、有效、较为理想的方法。

Objective： To evaluate the clinical value of transurethral plasmakenitic tate（PKEP） and transurethral vaporization of prostate （TUVP） for treatment of benign enucleation of pros- prostatic hyperplasia （BPH） . Methods： A total of 58 patients suffering BPH from January 2009 to January 2011 were examined. Twenty -three patients were performed with PKEP and thirty -five patients were performed with TUVP. The operative situations and post operative effects were TUVP, PKEP group has less operative blood loss, compared between two groups. Results： As compared with fewer complications and more resected weight of prostate, there were no statistic differences in Qmax, international prostate syndrome score and quality of life. Conclu- sion ： As compared with TUVP, PKEP has the advantages of less blood loss, fewer complications and more en- tire resection of prostate, there for it is an excellent method for the treatment of BPH.