经尿道等离子体前列腺剜除术与经尿道等离子体前列腺切除术的对比研究  

Comparison of transurethral plasmakinetic enucleation and resection of prostate for the treatment of benign prostatic hyperplasia

作　　者：潘铁军[1] 王涛[1] 文瀚东[1] 徐耀鹏[1] 

机构地区：[1]广州军区武汉总医院泌尿外科,湖北武汉430070

出　　处：《现代泌尿外科杂志》2011年第4期322-324,共3页Journal of Modern Urology

摘　　要：目的比较经尿道等离子体前列腺剜除术(PKEP)与经尿道等离子体前列腺切除(PKRP)近期疗效。方法将具有手术指征的120例前列腺增生症(BPH)患者随机分为两组,分别行PKEP和PKRP,监测、记录患者围手术期和术后6个月复查的有关指标,对所测指标进行统计学分析。结果术前两组一般情况比较,差别无显著性(P>0.05);术中出血量、手术时间、术后平均膀胱冲洗时间、置管时间和住院时间,PKEP组明显少于PKRP组(P<0.05);切除腺体重量,PKEP组〔(31.6±11.5)g〕明显多于PKRP组〔(19.7±10.4)g〕(P<0.05);术后6个月,两组患者残余尿量、最大尿流率均比术前得到明显改善(P<0.05)。结论 PKEP治疗BPH具有与PKRP相近的近期疗效;患者术中并发症发生率、恢复时间PKEP明显少于PKRP,是目前有望替代PKRP的一种新方法。Objective To compare the clinical effects and safety of transurethral plasmakinetic enucleation of prostate （PKEP） and transurethral plasmakinetic resection of prostate（PKRP） in the treatment of benign prostatic hyperplasia（BPH）. Methods 120 patients with BPH who had surgical indications were randomized into two groups： PKEP group and PKRP group, with 60 patients in each. The preoperative international prostate symptom score （IPSS）, the quality of life （QOL）, Quantity of maximum flow rate（Qmax）, postvoid residual urine volume（PVR）, the perioperative operation time, bleeding, weight of resected prostate, mean bladder irrigating time, catheterization time, and hospitalization were recorded. Six months after the operation, the complications, PVR and Qmax were observed. All results were statistically analyzed. Results There was no significant difference in preoperative factors between the two groups （P 〉 0.05）. The mean operation time, hemorrhage, bladder irrigating time, catheterization time and hospitalization were significantly less in the PKEP group than in the PKRP group（P〈0.05）. The mean resected tissues weighted more in the PKEP group than in the PKRP group （P〈O. 05）. Six months after operation, there was no significant difference in urinary incontinence, urethral stricture, and retrograde ejaculation between the two groups （P 〉 0.05）. PVR and Qmax were significantly improved （P 〈 0.05）. Conclusions PKEP is as effective as PKRP for the treatment of symptomatic BPH. As PKEP yields less adverse side-effect, it is an idea] minimally invasive treatment for BPH.

关 键 词：前列腺增生症 经尿道等离子体前列腺剜除术 经尿道等离子体前列腺切除 

分 类 号：R697.32[医药卫生—泌尿科学]