经尿道等离子前列腺剜除术治疗前列腺增生症的疗效分析

目的探讨经尿道前列腺等离子剜除术(TUPK-EP)治疗巨大良性前列腺增生(BPH)的疗效。方法入选2013年1月至2015年12月广州市增城区新塘医院泌尿外科收治的巨大BPH患者65例,依据治疗方法分为两组:经尿道前列腺等离子电切术(TUPK-RP)组(n=32)和TUPK-EP组(n=33)。对比两组患者的疗效、最大尿流量(Q_(max))及残余尿量(PVR)等临床指标。结果与TUPK-RP组相比,TUPK-EP组患者的手术时间显著缩短、冲洗液用量和术中出血量显著减少、Hb下降值亦显著降低,而腺体切除量显著增加,差异均具有统计学意义(P0.05)。术后3个月的复查结果显示,与TUPK-RP组相比,TUPK-EP组的Q_(max)显著增高、PVR显著降低,差异均具有统计学意义(P0.05)。结论在治疗巨大BPH时,与TUPK-RP比较,TUPK-EP的优势更明显,能更完全地切除腺体,缩短手术时间,降低术中出血量,值得临床推广应用。

Efficacy of transurethral plasma kinetic enucleation of the prostate in treatment of benign prostatic hyperplasia

Objective To investigate the therapeutic effect of transurethral plasma kinetic enucleation of the prostate (TUPK-EP)for huge benign prostatic hyperplasia (BPH). Methods A total of 65 patients with huge BPH admitted in our hospital from January 2013 to December 2015 were recruited in this study. They were divided into the TUPK-EP group (n=33) and transurethral plasma kinetic resection of the prostate(TUPK-RP) group (n=32). Efficacy, maximum urinary flow rate (Qmax), and residual urine volume (PVR) were analyzed and compared between the 2 groups. Results Compared with the TUPK-RP group, the patients of the TUPK-EP group had significantly shorter operation time, smaller amount of lavage fluid, reduced intra-operative bleeding volume, decreased hemoglobin (Hb) levels, but larger removal size (P<0.05).In 3 months after operation, the Qmaxvalue was higher, but the PVR was lower in the TUKP-EP group than in the TUKP-RP group (P<0.05). Conclusion In the treatment of huge BPH, TUKP-EP is superior to TUKP-RP in radical removal of the gland, shorter operation time and reduced blood loss.It is worthy of promotion in clinical practice.