经尿道等离子双极电切术治疗良性前列腺增生症的效果分析

The Effect of Transurethral Resection of Prostate with PlasmaKinetic Energy for the Treatment of BPH

目的探讨经尿道等离子双极电切术(plasmakinetic energy transurethral resection of prostate,PKRP)治疗良性前列腺增生症(BPH)的效果及安全性。方法对232例良性前列腺增生症患者行PKRP治疗,观察平均手术时间、切除腺体组织重量、手术并发症,记录术前一周及随访术后3个月和6个月国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿量(PVR)等指标并进行统计学分析。结果平均手术时间65分,平均出血量86mL,平均切除前列腺腺体重量37.6g。术前IPSS评分由(23.16±3.76)分降至(7.98±3.40)分,QOL评分由(5.1±0.42)分降至(1.8±0.8)分,Qmax由(8.5±3.2)mL升至(20.18±3.50)mL,PVR由(88.5±26.4)mL减少到(22.4±5.93)mL,且与术前比较有显著差异(P<0.05)。结论 PKRP能改善BPH患者生活质量,减轻前列腺炎所致不适,具有并发症少、疗效确切和安全等优点,是一种较理想治疗BPH方法。

Objective To evaluate the effect and safety of transurethral resection of prostate with plasmakinetic energy（PKRP） for treatment of benign prostatic hyperplasia（BPH）.Methods 232 cases of benign prostate hyperplasia patients were treated with PKRP.The average operation time,the weight of removal glandular tissue and operative complications were observed.The indices such as IPSS,QOL,Qmax,and PVR were recorded and statistically analyzed in preoperative 1 week,at 3 and 6 month postoperatively.Results The mean operative time was 65 minutes,average blood loss was 86mL,average resection of the prostate gland weight 37.6g.In 232 patients after operation,IPSS score decreased from（23.16±3.76） to（7.98±3.40）,QOL score decreased from（5.1 ±0.42） to（1.8±0.8）,Qmax increased from to（8.5±3.2）mL to（20.18±3.50）mL,PVR reduced from（88.5±26.4）mL to（22.4±5.93）mL.These were significant difference compared with those preoperatively（P〈0.05）.Conclusion PKRP could improve the quality of life of patients with BPH,include advantages of less bleeding and fewer complications,and to be an ideal treatment method for BPH.