经尿道前列腺电切术和等离子电切术治疗前列腺增生的比较  

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

作　　者：刘泽涛[1] 于莉[2] 张启波[1] 王风尧[1] 孙建波 

机构地区：[1]青岛市第三人民医院泌尿外科,山东266000 [2]青岛市第三人民医院院感科,山东266000

出　　处：《中华腔镜泌尿外科杂志（电子版）》2017年第5期30-33,共4页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的比较经尿道等离子电切术(PKRP)和经尿道前列腺电切术(TURP)治疗前列腺增生(BPH)的临床疗效和安全性。方法回顾性分析2014年3月至2015年5月于青岛市第三人民医院行手术治疗的前列腺增生患者84例分为两组,每组各42例,分别应用PKRP和TURP进行治疗。观察比较两种术式的手术指标和生活质量评分(QOL)、最大尿流率(Qmax)、膀胱残余尿(RUV)以及国际前列腺症状评分(IPSS)的差异。结果与TURP比较,平均手术时间、平均出血量及留置导管时间明显减少,差异有统计学意义(P<0.05),但冲洗时间和术后住院时间两组间差异无统计学意义(P>0.05);两种术式术后QOL、Qmax、RUV、IPSS等指标与术前比较均明显改善(P<0.01),但两种术式间比较差异无统计学意义(P>0.05);PKRP并发症发生率与TURP比较明显减少,有统计学意义(χ~2=4.46,P<0.05)。结论 PKRP术式临床疗效和安全性好于TURP,并发症发生率低,是较为理想的治疗BPH的手术方式,值得临床应用和推广。Objective To compare efficacy and safety of transurethral plasmakinetic resection of prostate（PKRP） and transurethral resection of prostate（TURP） for the treatment of benign prostatic hyperplasia（BPH）, to provide the basis for the clinical treatment of BPH. Methods Eighty four patients with BPH were enrolled in PKRP group（n=42） and TURP group（n=42）. The differences of operation index and quality of life score（QOL）, maximum urinary flow rate（Qmax）, residual urine volume（RUV） and the international prostate symptom score（IPSS） between the two group were compared. Results Average operation time, average bleeding volume and indwelling catheter time were shorter and lower in PKRP group, the differences were statistically significant（P〈0.05）, but there was no significant difference in the washing time and postoperative hospitalization time between the two groups（P〈0.05）. Compared with preoperative, QOL, Qmax, RUV, IPSS and other indicators were improved postoperatively（P〈0.01）, but there was no significant difference between the two group（P〉0.05）. The incidence of complications in PKRP group was lower than TURP group（χ^2=4.46, P〈0.05）. Conclusion The clinical efficacy and safety of PKRP was better than TURP, and the incidence of complications was lower, it was an ideal operation for BPH which was worthy of clinical application and promotion.

关 键 词：前列腺增生 前列腺切除术 等离子 疗效 

分 类 号：R699.8[医药卫生—泌尿科学]