经尿道等离子电切术治疗前列腺增生的临床疗效及术后近期并发症分析

Analysis of Efficacy and Early Postoperative Complications of Transurethral Plasma Kinetic Resection of Prostate for Treatment of Benign Prostate Hyperplasia

目的:观察经尿道等离子电切术治疗前列腺增生(BPH)的临床疗效及术后近期并发症。方法 :选择BPH患者141例,分为经尿道等离子前列腺电切术(PKRP)组76例和经尿道前列腺电切术(TURP)组65例,比较两组手术相关观察指标,术前及术后3个月国际前列腺症状评分(IPSS)、剩余尿量(PVR)、最大尿流率(Qmax),比较手术并发症的发生率。结果:PKRP组手术时间、术中出血量、住院时间及留置导尿管时间,均明显少于TURP组(P<0.01)。PKRP组血清钠水平降幅明显低于TURP组(P<0.01)。PKRP组切除组织量比较无明显差异(P>0.05)。两组术后Qmax、PVR、IPSS评分均较术前显著改善。两组术后Qmax、PVR、IPSS评分比较均无明显差异(P>0.05)。PKRP组术中闭孔神经反射、TURS发生率均明显低于TURP组(P<0.05)。两组并发症发生率比较均无明显差异(P>0.05)。结论:PKRP治疗BPH安全有效,并发症少,值得推广应用。

Objective： To observe the clinical effects and early postoperative complications of transurethral plasma kinetic resection of prostate（PKRP） for treatment of benign prostate hyperplasia（BPH）. Methods： 141 BPH patients for surgery were assigned to receive PKRP（n=71） or trans urethral resection prostate（TURP, n=65）. The IPSS scores, maximum flow rate（Qmax） and post-void residual volume（PVR） were compared before and after operation in two groups. The complications in each group were recorded after three months of operations. Results： The operation time, peri-operative bleeding, hospitalization time and indwelling catheter time in the PKRP group,were significantly less than those in the TURP group（P〈0.01）. The serum sodium in the PKRP group was also less than that in the TURP group（P〈0.01）. There was no significant difference in the amount of tissue removed（P〉0.05）. The Qmax, PVR and IPSS scores in two groups, were significantly improved, but there were no significant differences between groups（P〉0.05）. The obturator nerve reflex in the operation and rate of TURS in the PKRP group, were lower than those in the TURP group（P〈0.05）. Conclusion： PKRP treatment of BPH is effective and less complications, the results are worthy of generalizing in clinical practice.