两种术式治疗良性前列腺增生的临床疗效比较

目的:比较经尿道电切术(TURP)和经尿道等离子双极电切术(PKRP)两种手术方法治疗良性前列腺增生的临床疗效.方法:136例良性前列腺增生患者随机分为2组,每组各68例,分别采用PKRP和TURP进行治疗.观察比较两种术式手术指标以及国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、膀胱...

Comparison of clinical effect of transurethral resection of the prostate and transurethral plasmakinetic resection of the prostate for treatment of benign prostatic hyperplasia

Objective: To compare the clinical effect between transurethral resection of the prostate(TURP) and transurethral plasmakinetic resection of the prostate(PKRP) for treatment of benign prostatic hyperplasia(BPH).Methods: 136 patients with BPH were randomly divided into two groups underwent PKRP and TURP respectively.The clinical parameters and international prostate symptom score(IPSS),quality of life(QQL),residual urine volume(RUV) and the maximal urinary flow rate(Qmax) were compared.Results: Compared with TURP group,the mean operation time,the average amount of bleeding,flushing time,leaving management time,staying hospital time in PKRP group were significantly shorter and more reduce(P<0.05).The IPSS,QOL,Qmax and RUV were significantly improved(P<0.05 or P<0.01) after operation.However,there were no significantly change between two procedures(P>0.05).The complication rate of PKRP decreased significantly compared with TURP(P<0.01).Conclusion: The clinical effect of PKRP is better than TURP,and with low complication rate.It is a more ideal surgical method for treatment of benign prostatic hyperplasia,be worthy of promotion and application.