前列腺等离子电切治疗高危前列腺增生临床对照研究

A clinical control study on the treatment of high risk benign prostatic hyperplasia by plasma electric resection of prostate

目的:探讨经尿道前列腺等离子汽化切除术(TVP)治疗高危前列腺增生(high risk BPH,hs-BPH)的临床效果。方法:选取收治的hr-BPH患者106例并分为对照组(n=53)和试验组(n=53)。对照组:采用经尿道前列腺电切术治疗;试验组:给予TVP治疗,分析比较两组术中出血量、手术时间、切除前列腺重量;手术后对患者进行随访,比较两组QOL、IPSS评分及Qmax有无差别。结果:试验组术中出血量、手术时间、QOL和IPSS评分显著低于对照组,差异有统计学意义(P<0.05)。而试验组Qmax明显高于对照组,差异有统计学意义(P<0.05)。结论:TVP治疗hr-BPH疗效确切,创伤小,术后恢复快。

Objective To assess the effects of transurethral vaporization of prostate for the treatment of high risk benign prostatic hyperplasia（ BPH）. Method 106 cases with confirmed of high risk of BPH were selected. 53 cases who were in the control group received conventional transurethral resection of the prostate for treatment and 53 patients in the experiment group received plasma vaporization resection. The blood loss,surgery prcedure time,prostate resection weight,the QOL score,IPSS score and Qmax were compared. Results All the included subjects were succesfully finised the operation. The blood loss in experiment goup was much lower compared to control group（ P〈 0. 05）;but Qmax was significant higher compared to control group（ P〈 0. 05）. Conclusion Transurethral vaporization of prostate for the treatment of high risk BPH is efective with minimally invasive and fast recovery.