经尿道前列腺汽化电切术和等离子剜除术治疗良性前列腺增生症的比较研究

目的通过综合评价比较经尿道前列腺汽化电切（TUVP）和经尿道前列腺等离子剜除术（PKEP）治疗良性前列腺增生症（BPH）的临床疗效和可行性。方法回顾性分析66例BPH患者的手术方式,就手术时间、术中出血量、膀胱冲洗时间、术中电切综合症（TURS）发生率、术后国际前列腺症状评分（I-PSS）、生活质量评分（QOL）、最大尿流率（Qmax）和剩余尿（PVR）以及术后并发症的发生率进行比较。结果32例行TUVP术,34例行PKEP术,术前两组患者一般情况比较无统计学差异（p〉0.05）;术后各组患者I-PSS、QOL、Qmax、PVR与术前比较均有显著性差异（p〈0.01）,但组间比较均无显著性差异（p〉0.05）。手术时间、术中出血量、术后膀胱冲洗时间、住院时间PKEP组明显小于TUVP组,术后3个月内的排尿困难、继发性出血多见于TUVP。结论PKEP与TUVP对治疗BPH疗效无显著性差异,但PKEP在缩短手术时间和住院时间,减少并发症方面有明显优势。

Comparative Study of Transurethral Eletrovapporization Resection of Prostate and Transurethral Plasma Kinetic Enucleation of Prostate for Benign Prostatic Hyperplasia

Objective To assess the clinical efficacy and feasibility of transurethral eletrovapporization resection of prostate（TUVP）and transurethral plasma kinetic enucleation of prostate （PKEP） for treatment of benign prostatic hyperplasia （BPH）. Methods The surgical procedures of sixty-six cases with BPH were analyzed retrospectivel. The operation time,blood transfusion,the mean bladder irrigating time,TURS occuring,international prostate symptom score （I-PSS）,quality of life score （QOL）,maximum flow rate （Qmax）,postvoid residua （PVR） and complications occurring were compared. Results There were 32 and 34 cases perfomed by the methods of TUVP and PKEP respectively. There were no significant difference of preoperative factors between the twogroups （p〉0.05）. IPSS,QOL,Qmax,PVR are improved in two group patients after the operation proeedures （p 〈0.01）,and there was no significant difference among the two groups （p〉0.05）. The incidence of blood transfusion and TURS occurring,the mean bladder irrigating time,resident time were significant shortor in PKEP than TUVP. Postoperative （three month） dysury and posthemorrhage occurred most frequently in TUVP. Conclusion Two Surgical methods are all effective to the treatment of HBP. And PKEP have an advantage on shortening the operation time,resident time and reducing complications.