经尿道前列腺等离子双极气化电切术治疗高危前列腺增生的疗效分析

目的比较经尿道前列腺等离子双极气化电切术（TUP—KVP）治疗高危前列腺增生（BPH）的疗效。方法将224例老年高危BPH患者随机分为TUP—KVP组和TURP组。每组各112例。分别采用经尿道前列腺等离子双极气化电切术和经尿道前列腺电切术进行治疗。结果TUP—KVP组的手术时间、术中出血量较TURP组明显减少，而术后IPPS评分、尿流动力学检查结果均明显优于TURP组，差异有统计学意义（P〈0．05）；TUP—KVP组并发症发生率显著低于TURP组，差异有统计学意义（P〈0．05）。结论TUp-KVP具有切除腺体彻底，手术时间短，术中出血少及并发症少等优势，是治疗高危BPH理想的手术方式。

Clinical effect of transurethral plasmakentic vaporization of prostate on the treatment of high risk benign prostate hypertrophy

Objective To compare the effect of transurethral plasmakentic vaporization of prostate(TUP-KVP) on the treatment of high risk benign prostate hypertrophy(BPH).Methods All of 224 elderly patients with high risk BPH were treated by TUP-KVP and transurethral resection of the prostate(TURP),respectively 112 cases.Results The operation time,blood loss during operation in TUP-KVP group were significantly lower than those in TURP group,and IPSS score,urudynamic investigation in TUP-KVP group were significantly better than those in TURP group(P < 0.05).The incidence of complications in TUP-KVP group was significantly lower than that in TURP group(P < 0.05).Conclusion TUP-KVP has the merits of total prostatectomy,short operation time and less blood loss during operation and complications,so it can be used as an ideal operational manner for the treatment of high risk BPH.