经尿道前列腺等离子剜切术与电切术治疗 良性前列腺增生症的临床效果观察

The clinical effect observation of transurethral plasma kinetic enucleation of prostate and resection for the benign prostatic hyperplasia

摘要:

目的 探讨经尿道前列腺等离子剜切术（TUPKEP）与电切术（PKRP）治疗良性前列腺增生症手术效果，为临床治疗提供依据。 方法 选择该院泌尿外科2012年1月～2012年12月接受良性前列腺增生症患者61例，经PKRP术29例（PKRP组），TUPKEP术32例（TUPKEP组）。观测手术时间、手术出血、切除前列腺组织、IPSS、QOL、留置导尿时间及并发症等术后情况。 结果 TUPKEP组手术时间、手术出血和切除前列腺质量分别为（98.40±9.36）min、（46.09±4.65）mL和（45.57±5.25）g，与PKRP组比较，差异具有显著性（P <0.05）。TUPKEP组术后留置导尿时间为（4.39±0.84）d，低于PKRP组（5.19+0.40）d，差异具有显著性（P <0.05）。TUPKEP组术后出血为3.13%（1/32），低于PKRP组6.90%（2/29），差异具有显著性（P <0.05）。 结论 与PKRP比较，TUPKEP具有创伤小，出血少和并发症等优点，是一种安全性较高、手术彻底且术后恢复快的手术方法，值得在临床工作中推广和应用。

Abstract:

【Objective】 To explore the effect of transurethral plasma kinetic enucleation of prostate (TUPKEP) and resection (PKRP) for the treatment of benign prostatic hyperplasia and provide the clinical basis. 【Methods】 61 patients with benign prostatic hyperplasia were selected from January December to in 2012 in our hospital, 29 cases treated PKRP operation (PKRP group), 32 cases treated TUPKEP (TUPKEP group). Observation index included operation time, operation hemorrhage, resection of the prostate tissue, IPSS, QOL, indwelling catheter time, complications such as postoperative situation. 【Results】 The operation time, bleeding in operation and resection of the prostate weight of TUPKEP group were (98.40 ± 9.36) min, (46.09±4.65) mL and (45.57±5.25) g, compared with PKRP group, the difference was significant (P <0.05). Catheter time of TUPKEP group was (4.39±0.84) d, lower than that in PKRP group (5.19+0.40) d, the difference was significant (P <0.05). TUPKEP group after postoperative bleeding was 3.13% (1/32), lower than that of PKRP group 6.90% (2/29), the difference was significant (P <0.05). 【Conclusion】 Compared with PKRP, TUPKEP has the advantages of small trauma, less bleeding and complications, and it has a high security operation, completed and rapid postoperative recovery of operation method, it is worthy of promotion and application in clinical practice.