广州医科大学学报

目的:比较经尿道前列腺电切术(TURP)与经尿道双极等离子前列腺剜除术(PKEP)治疗良性前列腺增生(B3PH)的疗效和安全性。方法:回顾性分析我院2011年1月-2012年12月行TURP治疗的BPH患者66例,行PKEP治疗的BPH患者54例,比较两组手术时间、术中出血量、前列腺切除体积、术后膀胱冲洗时间、尿管留置时间、住院时间、并发症、术后IPSS评分、QOL评分、最大尿流率、残余尿量及tPSA。结果:PKEP组与TURP组在手术时间、术中出血量、前列腺切除体积、术后膀胱冲洗时间、尿管留置时间、住院时间、并发症及术后tPSA差异有统计学意义(P<0.05);两组在术后IPSS评分、QOL评分、最大尿流率、残余尿量差异无统计学意义(P>0.05)。结论:PKEP与TURP术相比,手术疗效相似,但PKEP较TURP手术时间短、术中出血量少、术后恢复快、切除前列腺组织较完全、并发症少,是治疗BPH的更好选择。

Objective:To compare the clinical curative effect and security of transurethral resection of prostate(TURP) and Plasmakinetic enucleation of the prostate(PKEP) in the treatment of symptomatic benign prostatic hyperplasia(BPH).Methods:This project was study at the department of our Hospital From Jan 2011 to Dec 2012,66 patients who were diagnosised BPH served as TURP group,they all accepted TURP treatment,and other 54 patient with BPH as a PKEP group,they accepted PKEP treatment.Observed two groups of patients with the main comparative indicators:operative time,bleeding volume,prostatectomy volume(PV),bladder irrigation time,postoperative indwelling catheter time,postoperative hospital stay,complications,IPSS,QOL score,and Qmax,residual urine volume(PVR),tPSA,etc.Results:Operative time,intraoperative blood loss,resection of the prostate volume,postoperative bladder irrigation time,postoperative indwelling catheter time,postoperative hospital stay,complications,postoperative tPSA level at 12 months,Significant differences were found between the two groups(P<0.05).120 patients were followed up for 1 year,there was no significant differences in IPSS,QOL score,Qmax and PVR at 12 months after operation between two grouds(P>0.05).Conclusions:PKEP,TURP are effective surgical operative treatment.The incidence of intraoperative and postoperative complication in PKEP group is low,less intraoperative blood loss and more resection of the prostate volume in PKEP group.And PKEP group in operative time,postoperative recovery time,are shorter than the TURP group.PKEP is a better way in the treatment of BPH.