探讨不同经尿道前列腺电切术对良性前列腺增生患者尿流动力学的影响

Effect of transurethral resection of prostate on urodynamics in patients with benign prostatic hyperplasia

目的:对比经尿道前列腺电切术(TURP)与经尿道双极等离子电切术(PKRP)对良性前列腺增生患者尿流动力学的影响。方法:选择2013年8月~2014年12月期间收治的76例良性前列腺增生患者为研究对象,采用随机数字表法分为TURP组和PKRP组各38例,TURP组患者接受经尿道前列腺电切术、PKRP组患者接受经尿道双极等离子电切术,比较两组患者的手术情况、术后尿流动力学指标、生活质量及并发症。结果:手术情况:PKRP组患者手术用时、术中出血量、尿管留置时间明显短于TURP组,P<0.05;但两组患者治疗前后尿流动力学指标最大尿流量(Qmax)、最大逼尿肌压力(MDP)、膀胱最大容尿量(VMCC)、膀胱顺应性(BC)、剩余尿量(PVR)比较差异无统计学意义,P>0.05;生活质量:PKRP组并发症发生率7.89%明显低于TURP组26.32%(χ2=4.547,P<0.05)。结论:TURP与PKRP均可有效治疗良性前列腺增生,并可显著改善尿流动力学,但PKRP在手术用时、术中出血量、并发症控制方面较TURP具有优势。

Objective:To compare the effect of transurethral resection of prostate (TURP)and transurethral bipolar plasma kinetic resection of prostate (PKRP)on the urodynamics of patients with benign prostatic hyper-plasia.Methods:From August 2013 to December 2014 in our hospital,76 cases of BPH were enrolled in this stud-y,and divided into TURP group and PKRP gourp by random number table,n=38 each.The operative indicators, postoperative urodynamic indexes,the quality of life and complications were compared between two groups.Re-sults:In PKRP group,intraoperative blood loss was less and catheter indwelling time was shorter in TURP group than in TURP group (both P<0.05).There was no significant difference in urodynamic indexes including maxi-mum urinary flow rate Qmax ,maximum detrusor pressure (MDP),maximum bladder urine volume (VMCC), bladder compliance (BC)and residual urine (PVR)in both two groups before and after treatment (P>0.05).The incidences of complications in PKRP group was 7.89% was significantly lower than that in TURP group (26.32%)(χ2=4.547,P<0.05).Conclusions:Both TURP and PKRP can be effective in the treatment of BRH,and can significantly improve the urodynamics,PKRP has advantages in operative time,intraoperative blood loss,and control of complications.