TUPKEP与TUPKRP治疗高危良性前列腺增生的临床疗效比较分析

目的:探讨经尿道等离子前列腺剜除术(TUPKEP)与经尿道等离子电切术(TUPKRP)治疗高危良性前列腺增生的临床疗效差异.方法:选取2014年1月~2015年12月本院泌尿外科采用手术治疗的72例高危良性前列腺增生患者进行回顾性分析,其中TUPKEP组37例、TUPKRP组35例,对比两组患者的手术情况、并发症及术后患者排尿情况.结果:TUPKEP组患者的手术时间、膀胱冲洗时间、前列腺切除重量、手术出血量、尿管留置时间、术后住院时间均显著的低于TUPKRP组患者,TUPKEP组患者的前列腺切除重量显著的高于TUPKRP组患者;术后3个月复查,TUPKEP组患者的IPSS评分、RUV、QOL显著的低于TUPKRP组患者,Qmax显著的高于TUPKRP组患者;术中,TUPKEP组患者的手术并发症率2.70%显著的低于TUPKRP组患者的8.57%;术后,TUPKEP组患者的手术并发症率45.95%显著的低于TUPKRP组患者的71.43%.结论:TUPKEP治疗高危良性前列腺增生较TUPKRP操作方便、快速,具有术后恢复快、手术效果好、并发症少的优势.

Comparative analysis of clinical efficacy of TUPKEP and TUPKRP in the treatment of high risk benign prostatic hyperplasia

Objective To evaluate the transurethral enucleation of the prostate (tupkep) and transurethral resection of plas-ma cutting operation (TUPKRP) in the treatment of high-risk benign prostatic hyperplasia (BPH) the difference of the clinical effect. Methods Select January 2014 to 72 high-risk patients with benign prostatic hyperplasia in December 2015 in our hos-pital urology surgical treatment were retrospectively analyzed 37 cases in which TUPKEP, TUPKRP group of 35 patients, com-paring two groups of patients with surgical conditions, concurrent disease and patients urination. Results TUPKEP group were operative time, bladder washing time, weight prostatectomy, surgical bleeding, indwelling catheter time and hospital stay were significantly lower than TUPKRP patients, TUPKEP group of patients with significant weight prostatectomy TUPKRP higher than the group of patients; TUPKRP patients after 3 months later, TUPKEP group of patients with IPSS score, RUV, QOL was significantly lower than TUPKRP patients, Qmax was significantly higher than that; intraoperative complications rate TUPKEP group were significantly lower than the 2.70% 8.57% TUPKRP group of patients; postoperative complications rate TUPKEP group were 45.95% significantly less than 71.43% TUPKRP group of patients. Conclusion TUPKEP high risk patients with benign prostatic hyperplasia compared TUPKRP easy to operate, fast, quick recovery, good surgical results, fewer complications advantage.