经尿道前列腺电切术及等离子电切术治疗重度BPH患者的疗效比较(1)
【摘要】 目的：对比观察应用经尿道前列腺电切术(TURP)与经尿道等离子电切术(PKRP)治疗重度前列腺增生(BPH)患者的临床疗效。方法：选取笔者所在医院2013-2014年收治的72例重度BPH患者作为研究对象，按照双盲法将其随机分为观察组和对照组，各36例，观察组采用PKRP治疗，对照组采用TURP治疗，观察比较两组患者的手术相关指标、术后并发症及手术前后主要指标改善情况。结果：观察组的手术时间、术后膀胱持续冲洗时间、住院时间均明显短于对照组，术中失血量明显少于对照组，差异均有统计学意义(P<0.05)。观察组患者出现前列腺综合征、尿道狭窄、尿失禁、膀胱颈挛缩等并发症的总发生率11.1%明显低于对照组的30.5%，差异有统计学意义(P<0.05)。两组患者经1～6个月随访，结果术后剩余尿量(PVRU)、最大尿流量(Qmax)、生活质量评分(QOL)、国际前列腺症状评分(IPSS)等主要指标相对于手术前均有明显改善(P<0.05)，但术后两组差异均无统计学意义(P>0.05)。结论：TURP以及PKRP治疗重度BPH患者的临床效果均较好，其中PKRP手术方式手术时间更短，术中出血更少，术后并发症较少，可有效缩短住院时间，临床应用价值更高。
【关键词】 重度BPH； 经尿道前列腺电切术； 经尿道等离子电切术； 疗效对比
中图分类号 R697.32 文献标识码 A 文章编号 1674-6805(2015)2-0008-02
The Comparative Efficacy of Transurethral Resection of Prostate and Transurethral Resection of Plasma in the Treatment of Patients with Severe BPH/JIANG Lei.//Chinese and Foreign Medical Research，2015，13(2)：8-9
【Abstract】 Objective：To compare and observe the clinical efficacy of transurethral resection of prostate(TURP) and transurethral resection of plasma(PKRP) in the treatment of patients with severe benign prostatic hyperplasia(BPH).Method：72 patients with severe BPH admitted to our hospital from 2013 to 2014 were selected as research objects，they were randomly divided into the observation group and the control group according to a double-blind method，36 cases in each group，the observation group was treated with PKRP therapy，the control group was treated with TURP therapy.The related indicators surgery，postoperative complications and key indicators to improve the situation before and after surgery of the two groups were observed and compared.Result：The operation time，postoperative continuous bladder irrigation time and hospitalization time of observation group were significantly shorter than those of control group，the blood loss volume during operation of observation group was significantly less than that of control group，the differences were statistically significant(P<0.05).The main complications were prostate syndrome，urethral stricture，urinary incontinence and bladder neck contracture，the total complication rate of observation group was 11.1%，which was significantly lower than 30.5% of control group，the difference was statistically significant(P<0.05).Two groups of patients after 1-6 months follow-up，the results of postoperative residual urine(PVRU)，maximum urinary flow(Qmax)，quality of life score (QOL)，international prostate symptom score(IPSS) and other relative to the previous surgery were significantly improved(P<0.05)，but there were no significant differences between the two groups after surgery(P>0.05).Conclusion：The clinical effects of TURP and PKRP in the treatment of patients with severe BPH are good，the operative time in PKRP surgical is shorter，less blood loss，fewer complications，can effectively shorten the hospitalization time，with higher clinical application value., 百拇医药(蒋磊)
【关键词】 重度BPH； 经尿道前列腺电切术； 经尿道等离子电切术； 疗效对比
中图分类号 R697.32 文献标识码 A 文章编号 1674-6805(2015)2-0008-02
The Comparative Efficacy of Transurethral Resection of Prostate and Transurethral Resection of Plasma in the Treatment of Patients with Severe BPH/JIANG Lei.//Chinese and Foreign Medical Research，2015，13(2)：8-9
【Abstract】 Objective：To compare and observe the clinical efficacy of transurethral resection of prostate(TURP) and transurethral resection of plasma(PKRP) in the treatment of patients with severe benign prostatic hyperplasia(BPH).Method：72 patients with severe BPH admitted to our hospital from 2013 to 2014 were selected as research objects，they were randomly divided into the observation group and the control group according to a double-blind method，36 cases in each group，the observation group was treated with PKRP therapy，the control group was treated with TURP therapy.The related indicators surgery，postoperative complications and key indicators to improve the situation before and after surgery of the two groups were observed and compared.Result：The operation time，postoperative continuous bladder irrigation time and hospitalization time of observation group were significantly shorter than those of control group，the blood loss volume during operation of observation group was significantly less than that of control group，the differences were statistically significant(P<0.05).The main complications were prostate syndrome，urethral stricture，urinary incontinence and bladder neck contracture，the total complication rate of observation group was 11.1%，which was significantly lower than 30.5% of control group，the difference was statistically significant(P<0.05).Two groups of patients after 1-6 months follow-up，the results of postoperative residual urine(PVRU)，maximum urinary flow(Qmax)，quality of life score (QOL)，international prostate symptom score(IPSS) and other relative to the previous surgery were significantly improved(P<0.05)，but there were no significant differences between the two groups after surgery(P>0.05).Conclusion：The clinical effects of TURP and PKRP in the treatment of patients with severe BPH are good，the operative time in PKRP surgical is shorter，less blood loss，fewer complications，can effectively shorten the hospitalization time，with higher clinical application value., 百拇医药(蒋磊)