经尿道双极等离子前列腺电切术治疗前列腺增生症的疗效及对患者尿道功能与机体功能的影响

Efficacy of transurethral bipolar plasmakinetic resection of the prostate for treatment of benign prostatic hyperplasia and its effect on patients' urethral function and body function

目的:分析经尿道双极等离子前列腺电切术(TUPKRP)治疗前列腺增生症(BPH)的疗效及对患者尿道功能与机体功能的影响.方法:选取遂宁市中医院泌尿外科2012-01/2016-05收治的76例BPH患者,根据随机数字表法分为观察组(n=38)和对照组(n=38),观察组采用TUPKRP治疗,对照组采用经尿道前列腺电切术(TURP)治疗,比较两组优良率、术前和术后3个月尿道功能指标,并采用国际勃起功能指数-5(IIEF-5)评分评价两组机体功能.结果:观察组优良率为97.37%,高于对照组优良率78.95%,差异具有统计学意义(χ~2=4.537,P<0.05);观察组术后3个月Qmax、MUCP与对照组相比,明显较高,差异具有统计学意义(P<0.05);观察组术后3个月IIEF-5评分高于对照组,差异具有统计学意义(P<0.05).结论:前列腺增生症采用TUPKRP治疗,可显著改善患者尿道功能和机体功能,疗效良好.

AIM: To analyze the efficacy of transurethral bipolar plasmakinetic resection of the prostate( TUPKRP) for treatment of benign prostatic hyperplasia( BPH) and its effect on patients' urethral function and body function. METHODS: A total of 76 cases of BPH patients admitted into department of Urinary Surgery,Suining Municipal Hospital of TCM from January 2012 to May2016 were randomly divided into observation group and control group,with 38 cases in each group. The observation group was given TUPKRP treatment,while the control group was given transurethral resection of the prostate( TURP) treatment. The good and excellent rate,urethral function parameters [maximum urinary flow rate( Qmax) and maximum urethral closure pressure( MUCP) ] before operation and 3 months after operation were compared and the body function were evaluated with international index of erectile function-5( IIEF-5) score. RESULTS: The good and excellent rate of the observation group was 97. 37%,which was higher than those of the control group( 78.95%),and the difference was statistically significant( χ~2= 4. 537,P < 0. 05);Qmax and MUCP of 3 months after operation in the observation group were evidently higher than those of the control group,and the differences were statistically significant( P < 0. 05); IIEF-5score of 3 months after operation in the observation group was higher than that of the control group,and the difference was statistically significant( P<0.05). CONCLUSION: For patients with BPH,TUPKRP treatment can significantly improve patients' urethral function and body function with good effect.