等离子电切术与经尿道前列腺气化术在良性前列腺增生中的疗效对比

Therapeutic efficacy of plasmakinetic technique compared with transurethral prostate vaporization on benign prostate hyperplasia

目的比较等离子电切术和经尿道前列腺气化术在良性前列腺增生治疗中的安全性和疗效。方法将50例有手术指针的前列腺增生症患者随机分为两组,分别行等离子电切术和经尿道前列腺气化术。结果等离子电切术组患者的手术后国际前列腺症状评分的变化、最大尿流率、剩余尿量与经尿道前列腺气化术组相比差异无统计学意义(P>0.05)。等离子电切术组患者的手术时间及术后并发症的发生与经尿道前列腺气化术患者相比,差异有统计学意义(P<0.05)。结论等离子电切术与经尿道前列腺气化术在前列腺增生症的治疗中效果相同,且具有手术时间短、并发症少、价格低廉等优点。

Objective To investigate the effect and safety of plasmakinetic technique（PKRP）compared with transurethral prostate vaporization （TPV）in the treatment of benign prostate hyperplasia （BPH）. Methods 50 cases of BPH patients were randomly divided into PKRP and TVP groups. Results There were no significant differences in IPSS, the average maximum flow-rate Q （max）and the average residual urine （RU）in these parameters between PKRP and TPV groups （P〉0.05）. There were statistically significant differences in operation time and postoperative complications between two groups （P〈0.05）. Conclusion PKRP has the same therapeutic as TPV on BPH.Moreover it was cheaper, shorter operation time and lower complication than TPV.