不同程度BPH患者行等离子电切术治疗的效果比较

目的 探讨经尿道等离子双极电切术（transurethral bipolar plasmakinetic resection of prostate，TUPKRP）在不同体积BPH患者治疗中的临床效果。方法 选2015年2月至2016年2月在院治疗的200例前列腺增生（benign prostatic hyperplasia，BPH）患者，按前列腺体积不同分为A组（60~80 mL）、B组（80~120 mL），给予TUPKRP治疗，对比治疗效果。结果 A 组平均手术时间短于B组，切除前列腺质量小于B组，差异比较有统计学意义（P＜0.05）；两组治疗后IPSS、IPSS1、IPSS2均有降低，比治疗前降低（P＜0.05），但组间差异无统计学意义（P＞0.05）；两组术后并发症发生率为15.00%（6/40）、15.22%（7/46），组间差异无统计学意义（P＞0.05）；两组术中平均出血量、尿管留置时间、住院时间等差异无统计学意义（P＞0.05）。结论 应用经尿道前列腺等离子电切术对不同大、小体积BPH患者治疗均可取得良好的疗效，具有较高的安全性。

Efficacy of bipolar transurethral plasmakinetic prostatectomy in patients with different levels of benign prostatic hyperplasia

Objectives To compare the efficacy and safety of transurethral bipolar plasmakinetic resection of prostate (TUPKRP) in benign prostatic hyperplasia (BPH) patients with different volume of prostate.Methods From February 2015 to February 2016, 200 patients with BPH who underwent TUPKRP in our hospital were retrospectively reviewed.All patients were divided into two groups, group A (volume 60~80 mL) and group B (volume 80~120 mL), according to different prostate volume.The clinical efficacy was compared.Results The mean operative time was significantly shorter in group A, as well as the volume of removal prostate tissues, with statistically significance (P<0.05) compared with group B.The international prostate symptom score (IPSS), IPSS1 and IPSS2 were greatly improved in both group.However, the differences between the groups were not statistically significance (P>0.05).The postoperative complication rate was 15.00% and 15.22% in group A and group B, respectively, with no significant difference (P>0.05).There were no statistically significance of the mean blood loss, indwelling catheterization time and hospital stay between the two groups (P>0.05).Conclusions It is safe and effective of TUPKRP in the treatment of patients with both large or small volume prostate.