经尿道前列腺等离子双极电切与前列腺电切治疗前列腺增生症的对比研究  

Comparative Study of Bipolar Transurethral Plasmakinetic Resection and Transurethral Resection of the Prostate for BPH Therapy

作　　者：杨华[1] 贾洪涛[1] 王秀新[1] 孙涛[1] 罗茂华[1] YANG Hua JIA Hong-tao WANG Xiu-xin SUN Tao LUO Mao-hua(Department of Urology, Renmin Hospital, Hubei Unviersity of Medicine, Shiyan, Hubei 442000, Chin)

机构地区：[1]湖北医药学院附属人民医院泌尿外科,湖北十堰442000

出　　处：《湖北医药学院学报》2017年第3期249-251,264,共4页Journal of Hubei University of Medicine

摘　　要：目的:比较经尿道前列腺等离子双极电切术(TUPKP)和经尿道前列腺电切术(TURP)在治疗良性前列腺增生症(BPH)中的临床指标,评价二者的疗效及安全性。方法:收集我科60例BPH患者,根据手术方式的不同分成TUPKP组和TURP组,各30例。比较两种术式平均手术时间、并发症发生率、术后血红蛋白和血钠降低、国际前列腺症状评分(IPSS)及生活质量评分(QOL)变化。结果:TUPKP组平均手术时间短于TURP组,差异有统计学意义(P<0.05);两组术中切除的前列腺质量无统计学差异;两组术后血钠下降程度、术后血红蛋白下降均有统计学差异(P<0.05)。两组患者术后IPSS和QOL评分较术前均显著下降(P<0.01),但术前、术后两组间比较均无统计学差异(P>0.05)。TUPKP组并发症总发生率显著低于TURP组(P<0.01)。结论:对于治疗前列腺增生症,TUPKP与TURP临床疗效一致,但TUPKP风险更低。Objective To compare the efficacy and safety of bipolar transurethral plasmakinetic rostatectomy（ TUPKP） and transurethral resection of the prostate（ TURP） in the treatment of benign prostatic hyperplasia（ BPH） by observing the related clinical indicators. Methods A total of 60 BPH patients in our department were divided into TUPKP group and TURP group according to different surgical methods,each group with 30 cases. The mean operative time,complication rate,postoperative hemoglobin and serum sodium,the International Prostate Symptom Score（ IPSS） and the quality of life（ QOL）score were compared between the two methods. Results The average operation time in group TUPKP was shorter than that in group TURP,the difference was statistically significant（ P 0. 05）. There was no significant difference on the average weight of resected prostates between the two groups. After operation,the levels of serum sodium and hemoglobin decreased（ P0.05） and the scores of IPSS and QOL were significantly lower than those before operation（ P 0.01） in the two groups,but there was no significant difference（ P0.05） between the two groups before and after the operation. The total incidence of complications in group TUPKP was significantly lower than that in group TURP（ P0.01）. Conclusion TUPKP is consistent with the clinical efficacy of TURP in the treatment of BPH,but TUPKP is less risky.

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

分 类 号：R699.8[医药卫生—泌尿科学]