PKRP与TURP治疗良性前列腺增生症的疗效比较

目的观察经尿道前列腺等离子切除术（PKRP）治疗良性前列腺增生症（BPH）的疗效及并发症，并与经尿道前列腺电切术（TURP）进行比较。方法回顾分析采用PKRP、TURP治疗的768例BPH患者，分别收集两组患者年龄、国际前列腺症状评分（IPSS）、剩余尿量（RUV）、最大尿流率（Qmax）、生活质量评分（QOL）、手术时间、术中出血量、术后尿管留置时间、住院天数、术后并发症发生率资料并进行统计分析。结果两组病例年龄、前列腺重量及术前IPSS、RUV、Qmax和QOL比较差异均无统计学意义（P〉0.05）。两组在手术成功率、平均住院时间、术后平均留置尿管时间、术中出血量和冲洗时间方面无统计学差异（P〉0.05）；两组在手术时间、并发症发生率方面有统计学差异（P〈0.05）。结论PKRP治疗BPH的近期临床疗效与TURP相当，临床上可根据患者情况和适应证选择不同方法，以获得更好的临床疗效。

Compared study the clinical efficacy of PKRP and TURP in the treatment of patients with benign prostatic hyperplasia

Objective To compare the clinical efficacy and complications of transurethral resection of the prostate (TURP) and plasmakinetic energy transurethral resection of the prostate (PKRP) in the treatment of patients with benign prostatic hyperplasia(BPH). Methods A total of 768 patients with BPH were enrolled from June 2003 to June 2008. The age, International Prostate Symptoms Scales(IPSS), residual urine volume(RUV), the maximum of urine quotiety(Qmax), Quality of Life(QOL), operational time, blood loss of operation, catheterization time, days in hospital and the complications of operation were reviewed and analysed. Result There is no significant differences between the datas of two groups before operation(P>0.05). Compared with the TURP group, the PKRP group has the same operation success rates, hospital stay andcatheterization time and blood loss of operation (P>0.05), but has the lower rate of complications and longer operational time(P<0.05). Conclusion Both surgical procedures have significant efficacy in the treatment of patients with BPH. The surgical modalities can be chosen based on individual conditions the prostate so as to obtain better clinical results.