经尿道等离子体双极电切术治疗良性前列腺增生的临床疗效

目的 探讨经尿道等离子体双极电切术治疗良性前列腺增生的临床疗效.方法 选取2011年1月～2012年4月于本院行手术治疗的良性前列腺增生患者133例,根据其手术治疗方法分为对照组（52例）和治疗组（81例）,给予对照组患者经尿道前列腺电切术,给予治疗组患者经尿道等离子体双极电切术,比较两组患者的国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）、剩余尿（PVR）、手术时间、出血量、住院时间、并发症.结果 治疗组出血量、并发症发生率、住院时间均明显优于对照组,差异有统计学意义（P＜0.05）,手术时间、IPSS、QOL、Qmax、PVR与对照组比较,差异无统计学意义（P＞0.05）.结论 经尿道等离子体双极电切术治疗良性前列腺增生安全、有效、并发症少、住院时间短,值得临床推广应用.

Clinical efficacy of transurethral plasma kinetic resection of the prostate in the treatment of benign prostatic hyperplasia

Objective To investigate the clinical application value of transurethral plasma kinetic resection of the prostate （TUPKRP） in the treatment of benign prostatic hyperplasia （BPH）.Methods 133 patients with BPH undergone surgery from January 2011 to April 2012 were selected.According to different surgical methods,they were divided into control group and treatment group.In the control group （n=52）,patients were treated by transurethral resection of prostate,while in the treatment group （n=81）,patients were treated by TUPKRP,the international prostate symptom score （IPSS）,quality of life （QOL）,Qmax,PVR,operation time,blood loss,hospital stay and complications were compared be- tween two groups.Results The blood loss,incidence of complications,and hospital stay in the treatment group was supe- rior to that in the control group,with statistical difference （P〈0.05）.The operation time,IPSS,QOL, Qmax,and PVR in treatment group had no significant difference in comparison with that in the control group （P〉0.05）.Concluslon In the treatment of BPH,TUPKRP is worthy Of expansion at advantages of safety,effectiveness,few complications,and short hospital stay.