TUPKRP术与TURP术的近期疗效比较  

作　　者：石涛[1] 高艳[1] 张大虎[1] 陈怀波[1] 丁智勇[1] 

机构地区：[1]湖北医药学院附属襄阳医院,441000

出　　处：《浙江临床医学》2017年第2期268-269,共2页Zhejiang Clinical Medical Journal

摘　　要：目的比较经尿道前列腺等离子双极电切术（TUPKRP）和经尿道前列腺电切术（TURP）治疗良性前列腺增生的近期疗效。方法将前列腺增生（BPH）患者随机分为两组，分别行TUPKRP（观察组）和TURP（对照组），监测和记录两组患者围手术期和术后3个月复查指标，将所测指标进行统计学分析。结果术前两组一般情况比较差异无统计学意义（P〉0．05）；术中出血量、手术时间，术后平均膀胱冲洗时间、尿管留置时间和住院时间，观察组明显小于对照组（P〈0．05）；术后3个月，两组国际前列腺症状评分、最大尿流率、生活质量评分比较差异无统计学意义（P〉0．05）。术后并发症发生率观察组明显少于对照组，差异有统计学意义（P〈0．05）。结论TUPKRP治疗BPH与TURP比较近期疗效相似，但术中出血量少，住院时间短，术后并发症少，有明显治疗优势，在有条件的医院可取代TURP成为一种治疗BPH的新方法。Objective To evaluate the short-term curative effect of transurethral plasmakinetic resection of prostate and transurethral resection of prostate in treatment of BPH.Methods Patients who were diagnosised BPH were divided into two groups treated by TUBVP （ observation group ） and TURP （ control group ） randomizedly.The indicators ofperioperative and 3 monthspostoperative were monitored and recorded, which also were used to statistical analysis. Results The preoperative assessment between the two groups was not statistically different （ P〉0.05 ） ; The bleeding volume during operation of observation group was significantly less than that of control group, The operation time, postoperative bladder irrigation time, length of catheterization, average number of days in hospital of observation group were significantly higher than those of control group, the differences were statistically significant （ P〈0.05 ） . 3 months after surgery, the Qmax, QOL, IPSS of the two groups were no significant differences （ P〉0.05 ） . The complication rate of observation group was significantly lower than that of control group （ P〈0.05 ） . Conclusions In the treatment of BPH, TUPKRP had the similar short-term curative effect with TURR Compared with TURP, TUPKRP had less blood loss, fewer complications, shorter hospitalization time, therefore, TUPKRP is worth beingwidely applied.

关 键 词：前列腺增生 前列腺切除术 等离子电切术 

分 类 号：R697.32[医药卫生—泌尿科学]