经尿道双极等离子前列腺剜除术与经尿道等离子前列腺切除术治疗前列腺增生症的疗效对比

A comparative study of the effect of transurethral bipolar plasmakinetic prostatectomy and transurethral plasmakinetic prostatectomy in the treatment of benign prostatic hyperplasia

目的探讨经尿道双极等离子前列腺剜除术(transurethral bipolar plasmakinetic enucleation and resection of the prostate,PKERP)与经尿道等离子前列腺切除术(transurethral plasmakinetic resection of the prostate,PKRP)治疗前列腺增生症的疗效。方法回顾性分析89例BPH患者的临床资料,根据不同手术方式分为PEKRP组40例和PKRP组49例,比较2组术前、围手术期及术后随访资料。结果PKERP组手术时间、术后尿管保留时间、住院时间均短于PKRP组,血色素降低幅度小于PKRP组(P<0.01)。2组并发症发生率差异无统计学意义(P>0.05)。术前和术后2组IPSS评分、QOL评分和最大尿流率差异均无统计学意义(P>0.05),2组术后IPSS评分、QOL评分低于术前,最大尿流率大于术前(P<0.05)。结论PKERP及PKRP均能有效改善患者的排尿症状,并发症发生率相似,PKERP在手术时间、血色素降低情况、术后尿管留置时间、住院时间方面优于PKRP。

Objective To investigate the efficacy of transurethral bipolar plasmakinetic enucleation and resection of the prostate(PKERP)and transurethral plasmakinetic resection of the prostate(PKRP)in the treatment of benign prostatic hyperplasia(BPH).Methods The clinical data of 89 patients with BPH were retrospectively analyzed.They were divided into PEKRP group(40 cases)and PKRP group(49 cases)according to different surgical methods.The preoperative,perioperative and postoperative follow-up data of the 2 groups were compared.Results The operation time,postoperative catheter retention time and hospitalization time of the PKERP group were shorter than those of the PKRP group,and the decrease in hemoglobin was less than that of the PKRP group(P<0.01).There was no significant difference in the incidence of complications between two groups(P>0.05).There was no significant difference in the IPSS score,QOL score and maximum urinary flow rate between two groups before and after surgery(P>0.05).The postoperative IPSS score and QOL score in two groups were lower than those before the operation,and the maximum urine flow rate was greater than that before the operation(P<0.05).Conclusion Both PKERP and PKRP can effectively improve the urination symptoms of patients.The incidence of complications is similar.PKERP is superior to PKRP in terms of operation time,hemoglobin reduction,postoperative urinary catheter retention time,and hospitalization time.