经尿道等离子前列腺剜除治疗前列腺增生的效果观察

Effects of Plasma Kinetic Enucleation of the Prostate on Benign Prostatic Hyperplasia

目的观察经尿道等离子前列腺剜除(PKEP)治疗前列腺增生(BPH)的效果。方法选择2017年1月至2018年12月我院收治的78例BPH患者,按照随机数字表法分为两组,各39例,一组给予PKEP治疗(PKEP组),一组给予经尿道前列腺电切(TURP)治疗(TURP组),比较两组围术期指标,手术并发症及术后3个月最大尿流率(Qmax)、残余尿量(PVR)、国际前列腺症状评分(IPSS)。结果PKEP组手术时间、术中出血量、膀胱冲洗时间、血红蛋白下降水平、留置导尿管时间均少于TURP组(P<0.05),并发症总发生率低于TURP组(P<0.05),术后3个月Qmax大于TURP组(P<0.05),PVR和IPSS评分与TURP组均无显著差异(P>0.05)。结论PKEP治疗BPH效果较好,有术中出血少,术后恢复快,安全性高等优点。

Objective To observe the effects of plasma kinetic enucleation of the prostate(PKEP)on benign prostatic hyperplasia(BPH).Methods 78 BPH patients admitted to our hospital from January 2017 to December 2018 were selected for the study and were divided into two groups according to the random number table method,with 39 cases in each group.One group was given PKEP(PKEP group),and another group was given transurethral resection of prostate(TURP)(TURP group).The perioperative indicators,surgical complications and maximum urinary flow rate(Qmax),post-void residual volume(PVR)and international prostate symptom score(IPSS)at 3 months after operation were compared between the two groups.Results The operative time,intraoperative blood loss,bladder irrigation time,hemoglobin decrease and indwelling catheter time in PKEP group were all lower than those in TURP group(P<0.05),and the total incidence rate of complications was lower than that in TURP group(P<0.05),and the Qmax at 3 months after operation was higher than that in TURP group(P<0.05),and there were no significant differences in the PVR and IPSS score compared with those in TURP group(P>0.05).Conclusion PKEP has good effects in the treatment of BPH,and it has little intraoperative bleeding,fast postoperative recovery and high safety.