选择性与传统经尿道等离子前列腺切除术治疗高危良性前列腺增生的疗效比较

目的 比较选择性经尿道等离子前列腺切除术(s-TUPKP)与传统经尿道等离子前列腺切除术(TUPKP)治疗膀胱内前列腺突出度(IPP)≥10 mm高危良性前列腺增生(BPH)的临床疗效及安全性.方法 回顾性分析2016年6月至2019年3月南华大学附属湘潭医院收治的188例IPP≥10 mm高危BPH病人,其中采用选择...

A comparative study of selective TUPKP and traditional TUPKP in the treatment of benign prostatic hyperplasia at high risk

Objective To compare the clinical efficacy and safety between selective transurethral plasma prostatectomy (s-TUPKP)and traditional transurethral plasma prostatectomy (TUPKP) in the treatment of benign prostatic hyperplasia (BPH) with a high risk of10 mm intravesical prostatic protrusion(IPP).Methods A retrospective analysis was performed on 188 cases of BPH with high risk of10 mm IPP treated in Nanhua University Affiliated Xiangtan Hospital from June 2016 to March 2019, including 92 patients treated withselective TUPKP as observation group and 96 patients treated with traditional TUPKP as control group. The operation time, intraopera.tive blood loss, excised tissue and postoperative complications were compared between the two groups in order to compare the safety ofoperation. The maximal flow rate (Qmax) , residual urine (RUV) , international prostate symptom score (IPSS),, quality of life (QOL) andIPP were compared before and 6 months after operation.Results The operative time of the observation group and the control group was(33.1±7.7) min and (63.7±14.3) min, the intraoperative blood loss was (75.6±19.0) mL and (100.1±23.0) mL, the resected tissue masswas (23.02±4.17) g and (47.10±9.58) g, respectively. There were statistically significant differences between the two groups (P<0.05). After 6 months follow-up, Qmax in both groups were significantly increased, IPSS, QOL, RUV and IPP were significantly decreased (P< 0.05) There was no significant difference in postoperative infection, bleeding, transient urinary incontinence and urethral stricture be.tween the two groups (P>0.05).Conclusion Both selective TUPKP and traditional TUPKP have significant clinical effects on BPH, butselective TUPKP has shorter operation time and less intraoperative blood loss, especially for patients with high risk of IPP 10 mm.