PKRP与TURP治疗良性前列腺增生的临床效果比较

目的比较经尿道前列腺等离子电切术(PKRP)与传统经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)的临床疗效。方法选取经手术收治的良性前列腺增生患者97例,其中44例为PKRP,53例为TURP,回顾研究两者手术观察指标、疗效指标以及手术并发症的差异性。结果对比2组手术观察指标,PKRP组平均手术持续时间(63.5±21.9)、术中平均出血量(213.6±68.6)m L、术后平均留置尿管时间(3.8±1.4)d,平均住院(8.7±1.4)d,均优于TURP组(P<0.05);PKRP与TURP各组效果评价指标手术前后均有所改善且差异有统计学意义(P<0.05),其中PKRP组患者手术前后Q-max、RUV,IPSS及QOL评分的改善值的组间比较,PKRP均优于TURP(P<0.05);对比2组手术并发症,PKRP在包膜穿孔及术后间断血尿的发生率均低于TURP(P<0.05)。结论 PKRP对于良性前列腺增生具有满意的疗效,且与传统TURP术相比,在手术治疗效果、减少手术并发症发生方面更加具有优势。

Objective To compare clinical efficacy of transurethral plasmakinetic resection of prostate （PKRP） and transurethral resection of the prostate （TURP） for treatment of patients with benign prostatic hyperplasia （BPH）. Methods 97 patients with BPH were conducted, and 44 cases with PKRP treated, 53 cases with TURP treated respectively. Comparative Study on the Index such as urgery observed indicators, curative effects and surgical complications through a retrospective study. Results For surgery observed indicators, average operation duration, average Intraoperative blood loss, average catheterization time and average Hospital stay is （63.5±21.9）min, （213.6±68.6）mL, （3.8±1.4）day and （8.7±1.4）day respectivelily, all are better than TURP （P〈0.05）; There are significant differences in the evaluation index of the two groups before and after operation （P〈0.05）, the improvement of all indexes over surgery as maximum of urine quotiety （Q-max）, residual urine volume （RUV）, International Prostate Symptoms Scales （IPSS）, Quality of Life （QOL） jin PKRP is 13.2 mL/s, 77.7 mL, 3.4 score and 15.2 score, still are better than TURP （P〈0.05）; Compared two groups of surgical complications, the Occurring rate of envelope perforation and postoperative intermittent hematuria, PKRP is lower than TURP （P〈0.05）. Conclusion Compared with traditional TURP, PKRP has more advantages in clinical effect, complications and has satisfactory effect.