评价经尿道前列腺双极等离子电切术与前列腺电切术治疗良性前列腺增生的临床效果及其安全性

目的:评价经尿道前列腺双极等离子电切术与前列腺电切术治疗良性前列腺增生的临床效果及其安全性。方法:选取2013年1月至2016年1月在我院接受手术治疗256例良性前列腺增生的患者,随机分为对照组和观察组,对照组126例使用前列腺电切术(TURP),观察组130例使用经尿道前列腺双极等离子电切术(PKRP),分析两组临床效果及其安全性。结果:观察组术中出血量、手术时间、置入导管时间以及住院时间等各项指标优于对照组,具有统计学意义(P0.05);患者术后主观症状国际前列腺症状评分IPSS、生活质量评分QOL两组比较无显著性差异(P0.05),术后3个月随访两个指标与治疗前比较均有明显改善且有统计学意义(P0.05);观察组的术后不良反应及相关并发症率为10.00%,相比对照组术后不良反应及相关并发症率的37.50%明显减少,有显著性差异(P0.05)。结论:经尿道前列腺双极等离子电切术与前列腺电切术均有效治疗良性前列腺增生,两者临床作用效果相同,但经尿道前列腺双极等离子电切术中综合征发生率低,术后相关并发症少,适合在临床中推广运用。

Clinical effect and safety of transurethral resection of prostate and transurethral plasmakinetic resection of prostate in the treatment of benign prostatic hyperplasia

Objectives:To evaluate the clinical effect and safety of transurethral resection of prostate (TURP) and transurethral plasmakinetic resection of prostate (TPKRP) in the treatment of benign prostatic hyperplasia (BPH).Methods:256 patients with BPH in our hospital from January 2013 to January 2016 were selected and randomly divided into observation group and control group.The control group (n =126) used TURP and the observation group used TPKRP.The safety and clinical effect of the two groups was analyzed.Results:Indictors such as intraoperative bleeding volume,operation time,indwelling catheter time and hospitalization time in the observation group were all superior to those in the control group,with statistically significant difference (P ＜ 0.05).Difference in the postoperative subjective symptoms International Prostate Symptom (IPSS) score and Quality of Life (QOL) score between the two groups was not significant (P ＞ 0.05).After 3 months of follow-up,the two indexes were both significantly improved compared with those before treatment,with statistically significant difference (P ＜ 0.05).The incidence of postoperative adverse reactions and complications in the observation group and control group was 10.00％ and 37.50％ respectively,with significant difference (P ＜ 0.05).Conclusion:TURP and TPKRP are both effective in treating BPH,but TPKRP is with fewer postoperative adverse reactions and complications,thusly worth clinical application.