等离子剜除联合电切术与传统电切术治疗前列腺增生的疗效比较

Comparison of curative effect between plasma kinetic enucleation-resection of prostateand traditional transurethral resection of prostate in the treatment of benign prostate hyperplasia

目的:比较等离子剜除联合电切术（PKEP-PKRP）与传统电切术（TURP）治疗前列腺增生的疗效。方法:收集2013年7月2015年7月行PKEP-PKRP术和TURP术治疗132例BPH患者资料,比较两组术前、术后一般情况、术后最大尿流率(Qmax)、剩余尿量（PVR）、国际前列腺症状评分（IPSS）、尿道狭窄及尿失禁等指标。结果:两组患者术前一般情况各项指标间差异无统计学意义（P>0.05）。两组术后膀胱冲洗时间、留置导尿管时间、膀胱痉挛持续时间及住院时间相比较均差异有统计学意义（P<0.05）。两组间术后PVR、Qmax、IPSS、尿道狭窄及尿失禁等指标差异有统计学意义（P<0.05）。结论:PKEP-PKRP与TURP疗效相比较,前者具有并发症少、术后恢复快等优势,是目前治疗前列腺安全、有效,较为理想的方法,值得推广。

Objective:To compare the therapeutic effect of plasma kinetic enucleation-resection of the prostate(PKEPPKRP) and traditional transurethral resection of prostate(TURP) in the treatment of benign prostate hyperplasia(BPH).Methods:132 cases of BPH who underwent PKEP-PKRP(n=74) and TURP(n=58) between July 2013 and July 2015 were analyzed retrospectively.The differences of general conditions before and after operation,and post-operative indexes ineluding Q_(max),post-void residual,IPSS,ankglo-urethria and uracratia were compared and analyzed between two groups.Results:There was no significant difference in general conditions before and after operation in two groups(P>0.05).The bladder irrigation time,catheterization time,cystospasm time and post-operation hospitalization time showed significant difference between two groups(P<0.05).As compare to the preoperation examinations.PVR.Q_(max).IPSS ankglo-urethria and uracratia showed significant differences(P<0.05).Conclusions:As compared with the TURP.the PKEP-PKRP has the advantages of less complications and faster postoperative recovery.It is safe effective,and ideal treatment for BPH,and and is worthy to be widely applied.