引用本文:李万全.经尿道前列腺等离子剜除术与切除术治疗前列腺增生的效果比较[J].中国临床新医学,2019,12(11):1233-1236.
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经尿道前列腺等离子剜除术与切除术治疗前列腺增生的效果比较
李万全
473400 河南,唐河县人民医院泌尿外科
摘要:
[摘要] 目的 比较经尿道前列腺等离子剜除术(PKEP)与经尿道前列腺等离子切除术(PKRP)治疗良性前列腺增生症(BPH)的临床效果。方法 选取2013-04~2016-04该院收治的170例BPH患者,根据手术方式不同分为观察组(n=85)和对照组(n=85),对照组患者行PKRP治疗,观察组患者行PKEP治疗,观察两组围术期各项指标情况、术后并发症情况以及远期疗效。结果 观察组膀胱冲洗时间、手术时间、导尿管留置时间、术中出血量及术后住院时间均少于对照组,腺体切除量大于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为11.8%,对照组并发症发生率为7.1%,差异无统计学意义(P>0.05);术后90 d,两组最大尿流率(Qmax)、残余尿量(RUV)、前列腺症状评分(IPSS)和生活质量指数(QOL)比较差异无统计学意义(P>0.05)。结论 对BPH的治疗,PKEP比PKRP具有手术时间短、术中出血量少及腺体切除更彻底等优势,且并发症并未显著增加,值得推广应用。
关键词:  经尿道前列腺等离子剜除术  经尿道前列腺等离子切除术  良性前列腺增生  治疗效果
DOI:10.3969/j.issn.1674-3806.2019.11.22
分类号:R 697.3
基金项目:
Comparison of the effects on treatment of benign prostatic hyperplasia between plasmakinetic enucleation of prostate and plasmakinetic resection of prostate
LI Wan-quan
Department of Urinary Surgery, the People′s Hospital of Tanghe County, Henan 473400, China
Abstract:
[Abstract] Objective To analyze the clinical effects of plasmakinetic enucleation of prostate(PKEP) and plasmakinetic resection of prostate(PKRP) on benign prostatic hyperplasia(BPH). Methods One hundred and seventy cases of BPH in the People′s Hospital of Tanghe County from April 2013 to April 2016 were divided into observation group(n=85) and control group(n=85) according to different surgical methods. The patients in the control group were treated with PKRP, and the patients in the observation group were treated with PKEP. The perioperative indicators, postoperative complications and long-term outcomes were observed and compared between the two groups. Results The time of bladder irrigation, the time of operation, the indwelling time of urethral catheter, and the time of postoperative hospitalization in the observation group was significantly shorter than that in the control group(P<0.05). The amount of intraoperative bleeding in the observation group was significantly less than that in the control group(P<0.05). The volume of prostate glands resected in the observation group was significantly larger than that in the control group(P<0.05). There was no significant difference in the incidence of complications between the observation group(11.8%) and the control group(7.1%)(P>0.05). There were no significant differences in Qmax, RUV, IPSS and QOL between the two groups 90 days after treatment(P>0.05). Conclusion Compared with PKRP, PKEP has the advantages of shorter operation time, less intraoperative bleeding and more thorough resection of the prostate glands for the treatment of BPH, and the complications of PKEP are not increased significantly. It is worth to be applied widely.
Key words:  Plasmakinetic enucleation of prostate(PKEP)  Plasmakinetic resection of prostate(PKRP)  
Benign prostatic hyperplasia(BPH)
  Therapeutic effect