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目的探讨经尿道前列腺电切术(TURP)和经尿道等离子双极电切术(PKRP)治疗良性前列腺增生(BPH)的疗效。方法将86例BPH患者按手术方式不同分为TURP组40例和PKRP组46例,比较两组治疗后各临床指标。结果 PKRP组手术时间[(65.3±14.57)min]、术后住院时间[(3.85±1.13)d]、术中出血量[(70.46±23.41)ml]均显著低于TURP组(P<0.05);两组术后国际前列腺评分、生活质量评分、最大尿流率、剩余尿量指标均较术前有明显改善,且两组术后各指标比较差异均无统计学意义(P>0.05)。结论 TURP和PKRP治疗BPH的临床疗效相近,但PKRP并发症发生率低,安全性更高,值得推广应用。
Objective To investigate the efficacy of transurethral resection of the prostate (TURP) and transurethral plasmapapolar excision (PKRP) in the treatment of benign prostatic hyperplasia (BPH). Methods Totally 86 cases of BPH were divided into TURP group (n = 40) and PKRP group (n = 46) according to the operation method. The clinical indexes of the two groups were compared. Results The operation time of PKRP group was significantly lower than that of TURP group [(65.3 ± 14.57) min], postoperative hospital stay [(3.85 ± 1.13) d] and intraoperative blood loss [(70.46 ± 23.41) ml] The postoperative international prostate score, quality of life score, maximum uroflow rate and residual urine volume were significantly improved compared with those before operation. There was no significant difference between the two groups in postoperative indexes (P> 0.05). Conclusion The clinical efficacy of TURP and PKRP in the treatment of BPH is similar, but the incidence of PKRP complications is low and the safety is higher, so it is worth popularizing and applying.