经尿道前列腺剜除术与电切术治疗前列腺增生对患者疗效与并发症影响

Efficacy and Complications of Transurethral Enucleation of Prostate and Transurethral Electrocision of Prostate in the Treatment of Benign Prostatic Hyperplasia

目的:探讨前列腺增生患者采用经尿道前列腺剜除术与电切术治疗的临床效果。方法:随机选取于2015年1月~2018年1月治疗前列腺增生的88例患者,A组采用经尿道等离子前列腺电切术(TUPKRP)治疗,B组采用经尿道等离子前列腺剜除术(TUPKEP)治疗,比较两组的手术疗效。结果:B组手术时间、出血量、住院时间、术后半年IPSS指标及并发症发生率明显少于A组,腺体切除量、术后半年Qmax指标明显多于A组,差异有统计学意义(P<0.05)。结论:TUPKEP术治疗前列腺增生,能有效改善患者临床症状,减少其出血量与并发症发生率,促进患者早日康复。

Objective:To discuss the clinical effect of transurethral enucleation and transurethral electrocision of prostate in the treatment of patients with benign prostatic hyperplasia.Methods:88 patients with BPH treated from January 2015 to January 2018 were randomly selected,group A was treated with transurethral plasma prostatic electrocision(TUPKRP),and group B was treated with transurethral plasma prostatic enucleation(TUPKEP),and the curative effect of the two groups was compared.Results:The time of operation,the amount of bleeding,the time of hospitalization,the IPSS index and the incidence of complications after the operation in group B were significantly less than that of the group A,and the amount of glandular resection and Qmax after the operation were significantly more than that of the group A(P<0.05).Conclusion:The treatment of TUPKEP on BPH can effectively improve the clinical symptoms,reduce the amount of bleeding and the incidence of complications,and promote the early recovery of patients with benign prostatic hyperplasia.