经尿道前列腺等离子体剜除术与电切术治疗前列腺增生

目的:比较经尿道前列腺等离子电切剜除术(PKEP)与经尿道前列腺电切术(PKRP)治疗良性前列腺增生(BPH)的安全性及临床疗效。方法:将82例BPH患者随机分成两组,分别行电切术(45例)和剜除术(37例),比较手术时间、术中出血量、前列腺切除量、术后膀胱冲洗时间和并发症发生率等指标,评价两种手术方式的安全性,通过比较术后6个月前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)和剩余尿量(PVR)等评价两种手术方式的疗效。结果:剜除术组的手术时间、术中出血量、术后恢复时间(术后冲洗时间、留管时间以及住院时间)以及并发症发生率明显低于电切术组,前列腺切除量明显高于电切术组,差异均具有统计学意义(均P<0.05);术后随访6个月,两组IPSS、QOL、Qmax和PVR术后与术前比较均明显改变(均P<0.05),但两组间改善程度比较差异无统计学意义(P>0.05)。结论:两种手术都是治疗BPH的有效方法,但经尿道前列腺等离子电切剜除术更省时、并发症更少、安全性更高。

Comparison of safety and therapeutic effects between transurethral plasma kinetic enucleation of prostate and transurethral resection of prostate on benign prostatic hyperplasia

Objective: To compare the clinical efficacy and safety between plasma kinetic enucleation of prostate(PKEP) and plasma kinetic resection of prostate(PKRP) for benign prostatic hyperplasia(BPH).Methods: A total of 82 patients with BPH were divided into PKEP group(37 cases) and PKRP group(45 cases) which were treated by PKEP and PKPP,respectively.Parameters including intraoperative blood loss,resected tissue weight,operating time,postoperative washing time of bladder and postoperative morbidity rate were compared to evaluate the clinical safety.International prostate symptom scores(IPSS),quality of life scores(QOL),maximum urinary flow rates(Qmax) and postvoid residual volumes(PRV) were compared to evaluate the clinical effects 6 months after undergoing the operation.Results:Operating time,intraoperative blood loss,postoperative washing time of bladder and postoperative morbidity rate were significantly lower in the PKEP group,resected tissue weight was significantly higher in the PKEP group,IPSS,QOL,Qmax and PRV were significantly improved 6 months postoperatively in both groups,but there was no significant difference between them.Conclusions:PKEP and PKRP have similar efficacy in the treatment of BPH.Because of less operating time,less blood loss,lower postoperative morbidity rate and higher security,PKEP has a better prospect.