经尿道前列腺电切术与等离子电切术治疗高龄前列腺增生症的疗效及安全性比较  

Comparison on the efficacy and safety of transurethral resection of the prostate and plasmakinetic resection of the prostate in the treatment of aged benign prostatic hyperplasia

作　　者：李晓荣 全白春 

机构地区：[1]四川省南充市身心医院泌尿外科,四川南充637700

出　　处：《实用临床医药杂志》2015年第15期125-128,共4页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11521248)

摘　　要：目的比较经尿道前列腺电切术(TURP)与经尿道等离子电切术(PKRP)治疗前列腺增生症(BPH)高龄患者疗效及安全性。方法 74例BPH高龄患者,随机分为TURP组36例(行TURP术治疗)和PKRP组38例(行PKRP术治疗)。比较2组患者手术情况及手术前后国际前列腺症状评分(IPSS)、残余尿量(RUV)、最大尿流率(MFR)、生活质量评分(QOL)指标变化,记录随访结果。结果 TURP组手术时间、术后膀胱持续冲洗时间、住院天数均大于PKRP组,术中出血量少于PKRP组(P<0.05)。2组术后IPSS、RUV、QOL较术前下降,MFR较术前升高,差异有统计学意义(P<0.01);组间比较,术后各指标差异无统计学意义(P>0.05)。随访6个月,2组并发症发生率无统计学差异(P>0.05)。结论 PKRP与TURP治疗BPH高龄患者的临床疗效相似,安全性方面各有优缺点,临床应根据患者病情、个人意愿等灵活选择。Objective To compare the efficacy and safety of transurethral resection of the prostate（TURP） and plasmakinetic resection of the prostate （PKRP） in the treatment of aged benign prostatic hyperplasia （BPH）. Methods Seventy-four aged patients with BPH were randomly divided into TURP group （ n = 36） undergoing TURP surgery and PKRP group （ n = 36） undergo- ing PKRP surgery. The changes of surgical conditions, international prostate symptom scores （IPSS）, residual urine volume （RUV）, maximum flow rate （MFR） and quality of life （QOL） were all compared in both groups before and after surgery, and the follow-up results were recorded. Results The operation time, lasting time of postoperative bladder irrigation and hospital stays in TURP group were longer than in PKRP group, while intraoperative amount of bleeding less than in PKRP group （P〈 0.05）. Compared with surgery before, postoperative IPSS, RUV and QOL went down in both groups, while MFR up, and significant differences were presented （P〈 0.01）. There was no statistical significance between two groups by comparison to each postoperative index and incidence of complications during 6-month follow up （P 〉0.05）. Conclusion Both PKRP and TURP have similar clinical efficacy and their own advantages and disadvantages in safety, so they should be flexibly selected in clinic according to the pathological conditions and individual willing.

关 键 词：经尿道等离子电切术 经尿道前列腺电切术 前列腺增生症 国际前列腺症状评分 

分 类 号：R697[医药卫生—泌尿科学]