摘要
目的比较经尿道前列腺等离子双极电切术(PKRP)与经尿道前列腺电切术(TURP)治疗大体积良性前列增生(BPH)的安全性及有效性。方法对采用PKRP及TURP治疗119例大体积BPH病例进行回顾性分析。年龄55～83岁,国际前列腺症状评分(IPSS)20-33分,最大尿流率(Qmax)0～10.6mL/s,前列腺体积为71～231mL。分两组分别采用PKRP及TURP治疗,两组间术前各项参数均具可比性。结果两组间手术时间、术后留置尿管时间、住院时间差异无显著性(P>0.05)。术后3个月,两组病例IPSS均明显减少(P<0.05),Qmax明显增加(P<0.05),但两组间IPSS及Qmax差异无显著性(P>0.05);与TURP比较,PKRP术中出血更少(P<0.05),无经尿道电切综合征(TURS)发生,并发症少。术后随访3～52个月,平均31个月,两组病例排尿情况稳定,均无需再次手术。结论在熟练掌握经尿道电切技术后,PKRP及TURP均为治疗大体积BPH的有效方法,PKRP有止血好、切割精细、对机体生理功能影响小、并发症少等优点,安全性更好。
【Objective】To evaluate the safety and efficacy of bipolar plasmakinetic resection of prostate （PKRP） in treatment of large-size benign prostatic hyperplasia （BPH）, and compare it to the standard transurethral resection of prostate （TURP）. 【Methods】119 cases with large-size BPH treated with PKRP or TURP were retrospectively analyzed. Those patients were under the age of 55~83 years, with a maximum urinary flow rate （Qmax） of 0~10.6 mL/s, an International Prostate Symptom Score （IPSS） of 20~33 and prostate volume of 71 to 231 mL. The general data of the two groups were comparable. 【Results】There were no significant difference between the two groups in the operation duration, catheterization period and hospital stay （P〉0.05）. The IPSS decreased significantly, while Qmax increased significantly in both groups in 3 months after the operation（P〈0.05）. But there were no difference in IPSS and Qmax between them postoperatively （P〈0.05）. The bleeding in PKRP group was less than that in TURP group（P〉0.05）. The complications such as blood transfusion and transurethral resection syndrome （TURS） in PKRP group were less than those in TURP group. With 3 months to 52 months （mean 31 months） follow-up, all of the patientsobtained stable urination. 【Conclusion】Both PKRP and TURP are safe and effective for large -size BPH with skilled transurethral resection technique. PKRP has fewer complications, with advantages of good hemostasis, exquisite resection, less effect on the physiologic function, therefore it is more safe than traditional TURP for the treatment of large-size BPH.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第10期1064-1067,共4页
China Journal of Endoscopy
