经尿道前列腺等离子双极电切术与前列腺电切术在良性前列腺增生患者中的应用效果  

Application effect of transurethral plasmakinetic resection of prostate and transurethral resection of prostate on patients with benign prostatic hyperplasia

作　　者：谢文锋[1] 潘杰[1] 黄莉梅[1] 

机构地区：[1]广东省英德市人民医院泌尿外科,广东英德513000

出　　处：《中国医药科学》2015年第12期116-118,共3页China Medicine And Pharmacy

摘　　要：目的 比较经尿道前列腺等离子双极电切术与前列腺电切术在良性前列腺增生患者中的治疗效果。方法 以我院2012年5月~2014年2月收治的100例良性前列腺增生患者为研究对象,随机将其分为两组,各50例,观察组患者行经尿道前列腺等离子双极电切术,对照组患者则行前列腺电切术,比较两组手术情况、治疗效果（IPSS评分、Qmax、RUV）及并发症情况。结果 两组术中出血量[（32.2±6.4）VS（50.3±8.0）]m L、导管留置时间[（5.5±0.5VS（7.0±0.4）]d及住院时间[（6.5±0.5）VS（10.1±0.8）]d,比较差异有统计学意义（P〈0.05）。观察组并发症发生率8.0%,与对照组的24.0%比较差异有统计学意义（P〈0.05）。另外,两组治疗后IPSS评分、Qmax、RUV比较差异无统计学意义（P〉0.05）。结论 PKRP与TURP治疗良性前列腺增生疗效均良好,但前者安全性更高,并发症更少。Objective To compare the treatment effect of transurethral plasmakinetic resection of prostate and transurethral resection of prostate in patients with benign prostatic hyperplasia. Methods 100 cases of benign prostatic hyperplasia patients treated in our hospital from May 2012 to February 2014 as the research object,were randomly divided into two groups,each of 50 cases,patients in observation group were treated by transurethral plasmakinetic resection of prostate,the control group underwent transurethral resection of prostate,compared two groups of operation,treatment effect （IPSS score,Qmax,RUV） and complications. Results The amount of bleeding in operation of two groups [（32.2 ± 6.4）VS（50.3 ± 8）]mL, catheter indwelling time [（5.5 ± 0.5VS （7.0 ± 0.4）]d and hospitalization time [（6.5 ± 0.5） VS （10.1 ± 0.8）]d, were significant difference（P 〈 0.05）. The complication rate of observation group 8%,compared with control group of 24%,difference was significant（P 〈 0.05）.In addition,IPSS score,Qmax,RUV difference was no statistical significance after treatment （P 〉0.05）. Conclusion PKRP and TURP in treatment of benign prostatic hyperplasia is good,but the former is more secure,with less complications.

关 键 词：经尿道前列腺电切术 经尿道前列腺等离子双极电切术 良性前列腺增生 应用效果 

分 类 号：R699[医药卫生—泌尿科学]