论文部分内容阅读
目的比较经尿道等离子前列腺电切术(TURP)与经尿道等离子前列腺剜除术(PKEP)治疗前列腺增生症(BPH)的疗效及并发症。方法选取2012年1月至2016年12月BPH患者68例,根据掷硬币法将患者随机分为两组,每组34例。硬币正面设置为实验组,给予PKEP治疗,反面设置为对照组,给予TURP治疗,比较两组疗效及并发症。结果实验组手术时间、术中出血量、术后膀胱冲洗时间及留置尿管时间少于对照组,切除前列腺体积大于对照组,术后并发症发生率低于对照组(P<0.05),但术后两组国际前列腺评分、最大尿流率、生活质量评分及残余尿比较差异未见统计学意义(P>0.05)。结论 TURP与PKEP均为治疗BPH的有效术式,但PKEP切除完全,术中出血量少,并发症少,恢复快。
Objective To compare the efficacy and complications of transurethral plasma prostatectomy (TURP) and transurethral plasmapapillary dissection (PKEP) in the treatment of benign prostatic hyperplasia (BPH). Methods Sixty-eight BPH patients were selected from January 2012 to December 2016. Patients were randomly divided into two groups according to the coin tossing method, 34 cases in each group. The front of the coin was set as the experimental group, given PKEP treatment, the reverse set as the control group, given TURP treatment, the two groups were compared efficacy and complications. Results The operation time, intraoperative blood loss, postoperative bladder irrigation time and indwelling catheter time were less in the experimental group than those in the control group. The volume of prostate resection was larger than that of the control group, and the incidence of postoperative complications was lower than that of the control group (P <0.05). There was no significant difference between the two groups in postoperative international prostate score, maximal uroflow rate, quality of life score and residual urine (P> 0.05). Conclusions Both TURP and PKEP are effective surgical procedures for the treatment of BPH. However, resection of PKEP is complete with less intraoperative blood loss, fewer complications and faster recovery.