PKRP与TUVP治疗良性前列腺增生症对比研究.docVIP

PKRP与TUVP治疗良性前列腺增生症对比研究 　　[摘要] 目的 对比分析经尿道等离子电切术（PKRP）与传统电切术（TUVP）治疗良性前列腺增生症（BPH）的疗效。方法 80例行手术治疗的BPH患者中PKRP治疗的40例患者设立为观察组，另外选择同期行TUVP治疗的40例患者设立为对照组，比较两组患者手术时间及术中出血量、住院时间，两组患者术前术后IPSS、最大尿流率（Qmax）的变化以及两组患者术后并发症发生率。结果 观察组的手术时间、住院时间分别与对照组比较，差异无统计学意义（P0.05），观察组的术中出血量明显少于对照组（P0.01）。术后观察组Qmax与对照组比较明显升高，观察组的IPSS术后较对照组明显降低，组间比较差异有统计学意义（P0.05），观察组术后无一例发生电切综合症，其并发症发生率达5%（2/40），对照组术后并发症发生率达25%（10/40），两组并发症发生率比较，差异有统计学意义（P0.05）。结论 经尿道等离子电切术（PKRP）较传统电切术（TUVP）治疗良性前列腺增生症出血少、并发症少、术后能明显改善患者的临床症状，值得推广和应用。 　　[关键词] 经尿道等离子电切术；传统电切术；良性前列腺增生症 　　[中图分类号] R699 [文献标识码] B [文章编号] 1673-9701（2014）17-0042-03 　　Study of PKRP and TUVP in treatment of benign prostatic hyperplasia（BPH） 　　YIN Xiaomeng JIANG Xin ZHOU Dongyan SHEN Jin YANG Bo 　　Department of Urology，the Fifth Peoples Hospital of Shenyang City，Shenyang 110023，China 　　[Abstract] Objective To analyze PKRP with traditional electrosurgical excision procedure （TUVP） treatment of benign prostatic hyperplasia（BPH） in effect， seeks to provide effective reference for the treatment of BPH. Methods A total of 80 patients underwent surgery for BPH in the plasma of patients undergoing PKRP treatment of 40 patients with BPH were set up for the observation group， choose another concomitant TUVP treatment of 40 patients with BPH were established for the control group ， two groups were compared operative time and blood loss， hospital stay， two groups of patients before and after surgery IPSS， maximum urinary flow rate （Qmax） changes in the incidence of postoperative complications in both groups of patients. Results The patients surgery ， hospitalization time respectively compared with the control group， the difference was not statistically significant（P0.05）， blood loss in the observation group was significantly less than the control group（P 0.01）. Qmax postoperative patients and the control group was significantly higher than the control group of patients with IPSS groups were observed significantly lower（P0.05） between the two groups ， the observa