经尿道等离子前列腺切除术治疗良性前列腺增生的效果  

Effect of Plasma Kinetic Transurethral Resection of Prostate in the Treatment of Benign Prostatic Hyperplasia

作　　者：陈龙 程双蕾 李征[1] 徐远铮 CHEN Long;CHENG Shuanglei;LI Zheng;XU Yuanzheng(Department of Urology,Nanyang Central Hospital,Nanyang 473005,China)

机构地区：[1]南阳市中心医院泌尿外科,河南南阳473005

出　　处：《临床医学工程》2024年第7期855-856,共2页Clinical Medicine & Engineering

摘　　要：目的探讨经尿道等离子前列腺切除术(PKRP)治疗良性前列腺增生(BPH)的效果。方法将2021年12月至2022年12月我院收治的110例BPH患者按照抽签法分为两组。对照组采用经尿道前列腺电汽化切除术(TUVP)治疗,观察组采用PKRP治疗。比较两组手术相关指标、并发症及手术效果。结果观察组术后膀胱冲洗时间、导管留置时间、术后排尿疼痛时间、术后出血时间及住院时间短于对照组(P<0.05)。观察组术中及术后并发症发生率低于对照组(P<0.05)。术后12个月,两组IPSS评分及Qmax、RUV低于术前(P<0.05);但两组IPSS评分及Qmax、RUV比较无统计差异(P>0.05)。结论PKRP治疗BPH的效果与TUVP相当,但PKRP术后恢复快,治疗安全性更高。Objective To explore the effect of plasma kinetic transurethral resection of prostate(PKRP)in the treatment of benign prostatic hyperplasia(BPH).Methods 110 BPH patients admitted to our hospital from December 2021 to December 2022 were divided into two groups according to the drawing method.The control group was treated with transurethral vaporization of prostate(TUVP),and the observation group was treated with PKRP.The operation-related indicators,complications and operation effect was compared between the two groups.Results The postoperative bladder irrigation time,catheter indwelling time,postoperative urination pain time,postoperative bleeding time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The incidences of intraoperative and postoperative complications in observation group were lower than those in control group(P<0.05).12 months after operation,the IPSS scores,Qmax and RUV of the two groups were lower than those before operation(P<0.05).No statistical difference was found in the IPSS score,Qmax and RUV between the two groups(P>0.05).Conclusions PKRP has the similar effect with TUVP in the treatment of BPH,but PKRP has faster postoperative recovery and higher treatment safety.

关 键 词：经尿道等离子前列腺切除术 良性前列腺增生 并发症 

分 类 号：R697.32[医药卫生—泌尿科学]