经尿道前列腺等离子双极电切术与耻骨上经膀胱前列腺切除术治疗良性前列腺增生的疗效和安全性比较

目的 比较经尿道前列腺等离子双极电切术与耻骨上经膀胱前列腺切除术治疗良性前列腺增生的疗效和安全性.方法 选取2012年12月～2013年12月在我院行经尿道前列腺等离子双极电切术治疗的良性前列腺增生患者40例,设立为A组,另选择同期行耻骨上经膀胱前列腺切除术治疗的良性前列腺增生患者40例,设立为B组,比较两组患者术中出血量、手术时间、住院时间及两组患者术前术后IPSS、QOL、Qmax、并发症情况.结果 A组的术中出血量明显少于B组,A组的手术时间、住院时间明显短于B组（P＜0.05或P＜0.01）.两组患者术后IPSS评分、QOL评分均较术前明显降低,且A组患者术后IPSS评分、QOL评分分别显著低于B组（P＜0.05）.两组患者Qmax术后均显著高于术前,且A组患者Qmax术后均显著高于B组（P＜0.05）.A组术后并发症发生率显著低于B组（P＜0.05）.结论 经尿道前列腺等离子双极电切术治疗良性前列腺增生较耻骨上经膀胱前列腺切除术时间短、出血少、术后并发症少,更能够显著改善患者的生活质量.

Efficacy and safety of prostate and suprapubic comparison with transurethral plasmakinetic resection of transvesical prostatectomy for benign prostatic hyperplasia

Objective To compare the efficacy and safety of transurethral plasmakinetic resection and transvesical prostatectomy above the pubic bone for treatment of benign prostatic hyperplasia. Methods 40 patients with benign prostate hyperplasia in our hospital from December 2012 to December 2013 underwent transurethral plasmakinetic resection of prostate patients, the establishment of group A, the other underwent suprapubic transvesical prostatectomy for patients with benign prostatichyperplasia 40 cases, set up the B group, the bleeding, operation time, hospitalization time and IPSS, QOL, Qmax, complications were compared. Results The volume of bleeding in group A was lower than that in group B. Also, its operationtime and hospitalization time were shorter than those of the group B （P〈0.05 or P〈0.01）. Patients of the two groups with postoperative IPSS score, QOL score were significantly decreased, and the IPSS score, QOL score of group A were significantly lower than group B （P〈0.05）. Qmax of two groups were significantly higher than those before operation, and group A were significantly higher than group B （P〈0.05）. Complications of group A were significantly lower than that of group B （P〈O.05）. Conclusion Transurethral plasmakinetic resection of prostate for treatment of benign prostatic hyperplasia with suprapubic transvesical prostatectomy in short time, less bleeding,less postoperative complications, with high quality of life.