经尿道双极等离子电切术治疗良性前列腺增生137例疗效观察

目的探讨经尿道双极等离子电切术治疗良性前列腺增生的临床疗效。方法根据手术方式的不同将该院收治的良性前列腺增生200例患者分为观察组（137例）和对照组（63例）,观察组采用经尿道双极等离子电切术（PKRP）进行治疗,对照组采用经尿道前列腺电切术（TURP）进行治疗。结果观察组的手术时间、导管留置时间及术后膀胱冲洗时间均明显短于对照组差异有统计学意义（P〈0.05）,术中出血量明显少于对照组差异有统计学意义（P〈0.05）,术后并发症发生率明显低于对照组差异有统计学意义（P〈0.05）,两组治疗后3个月的IPSS、QOL、MFR及RUV均优于治疗前差异有统计学意义（P〈0.05）,但术后两组间比较差异无统计学意义（P〉0.05）。结论采用经尿道双极等离子电切术治疗良性前列腺增生疗效显著,是一种安全性高、疗效确切、术后恢复快、并发症少的手术方法。

Observation of Bipolar Transurethral Plasmakinetic Resection of the Prostate for 137 Patients with Benign Prostatic Hyperplasia

Objective To evaluate the clinical curative effect of bipolar transurethral plasmakinetic resection of the prostate on benign prostatic hyperplasia. Methods According to the different methods of operation, 200 cases of patients with benign prostatic hyperplasia treated in our hospital from November, 2010 to November, 2013 were divided into observation group（137 cases） and control group（63 cases）. The patients of observation group were treated with bipolar transurethral plasmakinetic resection of the prostate（PKRP） and the patients of control group were treated with transurethral resection of prostate（TURP）. Results The operation time, catheter indwelling time and the postoperative irrigation time for bladder of the observation group were significantly shorter than those of the control group（P〈0.05）. The intraoperative blood loss of the observation group was significantly less than that of the control group（P〈0.05）, and the incidence of postoperative complications of the observation group was lower than that of the control group（P〈0.05）. The IPSS, QOL, MFR and RUV of the two groups 3 months after treatment were all better than those before treatment（P〈0.05） with no statistical significance between the two groups（P〉0.05）. Conclusion The clinical curative effect of bipolar transurethral plasmakinetic resection of the prostate on benign prostatic hyperplasia is significant, which is a kind of operation with high safety, efficacy, and quick recovery and less complications.