经尿道等离子前列腺剜除术与电切术治疗前列腺增生的效果分析

The effect of plasmakinetic excision of the prostate （PKEP） and plasmakinetie resection of the prostate （PKRP） in the treatment of benign prostate hyperplasia

目的探究经尿道等离子前列腺剜除术（PKEP）及电切术（PKRP）用于前列腺增生（BPH）治疗的效果及对患者残余尿量、前列腺症状评分（IPSS）的影响。方法选取2015年2月至2017年11月收治的200例BPH患者临床资料进行分析，将行PKRP治疗者设作对照组（100例），行PKEP治疗者设作研究组（100例），比较两组手术相关指标、并发症及前列腺症状评分（IPSS）、残余尿量（RUV）。结果研究组尿管留置时间[（1．21±0．49）d比（4．08±1．02）d]、前列腺切除量[（51．53±13．87）g比（30．81±11．19）g]、出血量[（149．15±28．45）ml比（303．74±39．36）m1]等手术相关指标均优于对照组（均P〈0．05）；研究组并发症总发生率较对照组低（4．0％比22．0％，P〈0．05）；两组术后1个月IPSS、RUV均优于术前（P〈0．05），两组术后1个月IPSS、RUV比较差异无统计学意义（P〉0．05）。结论PKEP与PKRP均可有效治疗BPH，其中PKEP术后并发症更少，可作为首先治疗方案。

Objective To investigate the effect of plasmakinetic excision of the prostate （PKEP） and plasmakinetic resection of the prostate （PKRP） in the treatment of benign prostate hyperplasia （BPH） and their influence on residual urine volume （RUV） and international prostate symptom score （IPSS）. Methods The clinical data of 200 BPH patients who were admitted from February 2015 to November 2017 was analyzed, 100 patients undergoing PKRP as the control group and another 100 patients undergoing PKEP as the study group. Then the operation related indexes, complications, RUV, and IPSS score were compared between the two groups. Results The operative indexes such as catheter indwelling time, the resection volume of the prostate, the amount of bleeding in the study group were better than those in control group [（1.21±0.49）d vs.（4.08±1.02）d, （51.53±13.87） g vs.（30.81±11.19）g, （149.15±28.45）ml vs.（303.74±39.36）ml; P〈0.05]. The overall incidence of complications in the study group was 4.0%, lower than that in the control group （22.0%） （P〈0.05）. RUV and IPSS score of the two groups 1 month after the operation were better than those before the operation （P〈0.05）; there were no statistically significant differences in RUV and IPSS score between the two groups 1 month after the operation （P〉0.05）. Conclusion Both PKEP and PKRP could effectively treat BPH. Among them, PKEP has fewer postoperative complications and could be used as the first treatment plan.