两种方法治疗前列腺增生的临床疗效比较

目的 评价经尿道前列腺等离子电切术的临床疗效.方法 回顾性分析和比较150例经尿道前列腺等离子电切术(TURP组)和152例经尿道前列腺电切术(PKRP组)良性前列腺增生患者的临床资料,比较术中出血量、手术时间、术后膀胱冲洗时间、术后症状改善程度、术后并发症及术后住院时间.PKRP组病例前列腺体积36～58 cm3,平均(43±2.3)cm3.TURP组病例前列腺体积34～55 cm3,平均(42±2.1)cm3.所有病例术后病理结果均为良性前列腺增生.结果 PKRP、TURP两组术中出血量分别为(120±25)mL和(180±30)mL(P<0.01),两组手术时间分别为(55±15)min和(58±13)min(P>0.05),术后膀胱冲洗时间分别为(3.6±1.2)d和(6.4±1.6)d,(P<0.05),术后状改善程度分别为(97±2.5)%和(89±3.1)%(P<0.05),术后并发症分别为(3.4±0.4)%和(6.9±0.7)%(P<0.01),术后住院时间分别为(6.3±1.6)d和(11.7±3.3)d(P<0.01).结论 经尿道前列腺等离子电切术较经尿道前列腺电切术中出血量少,术后膀胱冲洗时间短,术后症状改善程度高,术后并发症发生率低,术后住院时间短.

Comparison of clinical curative effects between PKRP and TURP for treating prostatic hyperplasia

Objective To evaluate the clinical curative effect of transurethral plasmakinetic resection of prostate(PKRP).Methods The clinical data in 150 cases of PKRP(group PKRP) and 152 cases of transurethral resection of the prostate(TURP,group TURP) were retrospectively analyzed.Intraoperative bleeding volume,operation time,postoperative bladder irrigation time,postoperative symptom improvement degree,complications and hospitalization time were compared between the two groups.The prostate gland volumes were 36-58 cm3,average(43±2.3)cm3 in the group PKRP and 34-55 cm3,average(42±2.1)cm3 in the group TURP.The pathological result showed benign prostate hyperplasia in all cases.Results The intraoperative bleeding volumes in the group PKRP and TURP were(120±25)mL and(180±30)mL respectively(P<0.01),the operation time was(55±15)min and(58±13)min(P>0.05),the postoperative bladder irrigation time was(3.6±1.2)d and(6.4±1.6)d,(P<0.05),the improvement degrees of postoperative symptoms were(97±2.5)% and(89±3.1)%(P<0.05),the postoperative complications were(3.4±0.4) % and(6.9±0.7)%(P<0.01),the hospitalization time was(6.3±1.6)d and(11.7±3.3)d respectively(P<0.01).Conclusion Compared with TURP,PKRP has less intraoperative bleeding,short postoperative bladder irrigation time,high improvement degree of postoperative symptoms,low incidence of postoperative complications and short postoperative hospitalization time.