摘要
目的比较经尿道等离子体双极电切术(PKRP)与经尿道前列腺汽化电切术(TURP)治疗良性前列腺增生症(BPH)的临床疗效。方法将300例有症状的前列腺增生症(BPH)患者随机分成两组,各150例,分别行PKRP和TURP术,记录患者围手术期和术后3个月复查的有关指标(手术时间、术中出血量、冲洗时间、留管时间、住院时间,国际前列腺症状评分(IPSS),尿流率峰值(Qmax)和生活质量评分(QOL)),并发症(TURS、术中输血、继发出血、尿失禁、膀胱痉挛、尿道狭窄)发生率,对两组数据进行统计学分析。结果 PKRP组出血量、冲洗时间、留管时间和住院时间少于TURP组,两组相比差异有显著性(P<0.05),术后3个月,两组患者症状评分、生活质量分析、最大尿流率均比术前明显改善(P<0.05),PKRP组并发症发生率为3.3%,低于TURP组的13.3%,两组比较差异有统计学意义(P<0.05),所有并发症对症处理恢复正常,两组均无死亡病例。结论 PKRP与TURP均是治疗BPH的有效术式,但PKRP较TURP并发症少,安全性高,是治疗BPH较理想的微创术式。
Objective To compare the efficacy of bipolar plasmakinetic resection of prostate（PKRP）and transurethral resection of prostate（TURP） for benign prostatic hyperplasia（BPH）.Methods From August 2007 to October 2009,300 patients with BPH in our institution were randomized into 2 groups,with 150 patients in each group,and were treated with PKRP and TURP respectively.The clinic variables： operative time,blood loss,postoperative irrigating time,catheter rentention time,hospital stay,international prostatic symptom score（IPSS）,maximum urine flow rate（Qmax） and quality of life,and incidence rate of complication（transurethral resection symptom,bleeding,incontinence,bladder spasm and urethral stricture） in each group perioperatively and 3 month after surgery.Results In PKRP group,the blood loss,the postoperative bladder irrigating time,the catheter rentention time and the hospital stay were significantly less than those in TURP group（P0.05）.All the cases were followed up for 3 months,IPSS,Qmax and QOL were significantly improved in both groups after the procedures（P0.05）,but no significant differences were found between the 2 groups（P0.05）.The incidence rate of complications in PKRP group was significantly lower than that in PKRP group（P0.05）.Conclusions PKRP and TURP has the similar therapeutic efficacy in the treatment of BPH,but PKRP is safer and with lower complication than TURP.Thus,PKEP is a better treatment option for BPH.
出处
《中华腔镜泌尿外科杂志（电子版）》
2010年第4期36-38,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
良性前列腺增生症
经尿道前列腺电切术
等离子
双极
Benign prostatic hyperplasia Transurethral resection of prostate Plasmakinetic Bipolar
