经尿道等离子前列腺剜除术与电切术治疗前列腺增生症的效果对比

目的探讨治疗良性前列腺增生症（BPH）的有效术式。方法根据手术方式,将183例BPH患者分为观察组（n=101）与对照组（n=82）,前者接受经尿道等离子前列腺剜除术（TUEP）治疗,后者接受经尿道等离子前列腺电切术（TURP）治疗,现对比分析两组患者的疗效。结果①观察组手术时间、术中出血量、膀胱冲洗时间、导尿管留置时间、术后住院时间显著低于对照组,腺体切除量显著高于对照组（P〈0.05）。②观察组并发症发生率显著低于对照组（P〈0.05）。③术后3个月,两组患者前列腺症状评分（IPSS）、最大尿流率（Qmax）、残余尿量（RUV）、生活质量指数（QOL）相比差异无统计学意义（P〉0.05）。结论与TURP相比,TUEP治疗BPH具有手术创伤更少,术后恢复更快,腺体切除更彻底,并发症发生率更低等优点。

Therapeutic efficacy comparison of transurethral evaporation of prostate and transurethral resection of prostate in the treatment of prostatic hyperplasia

Objective To explore the effective surgical method for benign prostatic hyperplasia （BPH）. Methods According to the surgical method, 183 cases of BPH were divided into the observation group （n=101） and the control group （n =82）, and the former received transurethral evaporation of prostate （TUEP）, while the latter was given transurethral resection of prostate （TURP）. Results （1）The operation time, intraoperative blood loss, bladder irrigation time, catheterization time, postoperative hospital stay of the observation group were significantly lower than those of the control group respectively （P 〈0.05）, while the gland excision amount was significantly higher than that of the control group （P 〈 0.05）. （2）The incidence rate of complications of the observation group was significantly lower than that of the control group （P〈 0.05）. （3）3 months after operation, there were no significant differences in the prostate symptom score （IPSS）, maximum urinary flow rate （Qmax）, residual urine volume （RUV）, quality of life index （QOL） between the two groups （P 〉 0.05）. Conclusion Compared with TURP, the TUEP is of smaller surgical trauma, quicker postoperative recovery, more complete gland excision, lower incidence rate of complications in the treatment of BPH.