经尿道等离子前列腺分离电切术和传统电切术治疗BPH的疗效比较

目的:比较经尿道等离子前列腺分离电切术和等离子刀经尿道传统电切术治疗良性前列腺增生(BPH)的临床疗效,并对分离电切术进行研究。方法:2005年9月至2010年8月,收集81例BPH患者,随机分为2组。单盲法,行经尿道等离子前列腺分离电切术40例,行等离子刀经尿道传统电切术41例;比较2组年龄、术前超声测量前列腺体积、手术中切除腺体重量、手术时间、术中出血、术后带尿管时间、术前及术后IPSS评分(国际前列腺症状评分)。结果:两组病例仅术后IPSS评分比较有统计学意义(P<0.05),分离电切组与传统电切组IPSS评分分别为(8.70±1.13)分和(9.95±1.54)分。结论:经尿道等离子前列腺分离电切术和等离子刀经尿道传统电切术比较,经尿道等离子前列腺分离电切术临床疗效更为显著。

Comparison of transurethral detaching resection and plasmakinetic transurethral resection of the prostate for benign prostatic hyperplasia

Objective： To compare the clinical effects of transurethral detaching resection（TUDRP） and plasmakinetic transurethral resection of the prostate（PKRP） for benign prostatic hyperplasia（BPH）.Methods： We collected by the single blind method the clinical data of 81 cases of BPH treated by PKRP（n = 41） and TUDRP（n = 40）,and compared the two groups of patients in their age,preoperative prostate volume,weight of the resected gland,operation time,intraoperative bleeding,time of postoperative Foley＇s catheter retention,and pre-and post-operative IPSS.Results： The post-operative IPSS was significantly higher in the PKRP than in the TUDRP group（9.95±1.54 vs 8.70±1.13,t=0.0029,P=0.005 9）.Conclusion： TUDPR has a better clinical effect than PKRP in the treatment of BPH.