| 饶志刚 戴冀斌 杨军 孔东波 陈向南.经尿道等离子电切术治疗前列腺增生的临床效果研究[J].,2015,15(21):4049-4051 |
| 经尿道等离子电切术治疗前列腺增生的临床效果研究 |
| Research on the Clinical Effects of Transurethral Plasmakinetic Resectionon Benign Prostatic Hyperplasia |
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| DOI： |
| 中文关键词: 等离子双极电切术 经尿道前列腺电切术 前列腺增生 临床疗效 安全性 |
| 英文关键词: Plasmakinetic resection Transurethral resection Benign prostatic hyperplasia Clinical effect Security |
| 基金项目:上海市卫生局申康医院发展中心项目资助（SHDCI2007316） |
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| 中文摘要: |
| 目的：探讨经尿道等离子电切术治疗前列腺增生的临床效果和安全性。方法：选取2013 年1 月-2014 年1 月在我院就诊的
前列腺增生患者64 例，并将其随机分为经尿道前列腺等离子体双极电切术(PKRP)组和经尿道前列腺电切术(TURP)组，每组各
32 例。PKRP组患者使用经尿道前列腺等离子体双极电切术治疗，TURP 组患者使用经尿道前列腺电切术治疗，术后观察和比较
两组患者的临床疗效及并发症的发生情况。结果：与TURP组比较，PKRP 组的手术时间显著延长，术中出血量明显减少，导尿管
留置时间、住院时间均显著缩短，腺体切除量明显增加，差异具有统计学意义(P＜0.05)。术后，两组的IPSS、QOL、RUV和Qmax 均
较术前显著改善(P＜0.05)，且PKRP 组患者的IPSS、QOL、RUV均显著低于TURP 组，而Qmax 明显高于TURP 组，差异具有统计
学意义(P＜0.05)。两组的不良反应包括前列腺电切综合征、暂时性尿失禁、迟发性出血和尿道狭窄，PKRP组的总发生率显著低于
TURP 组，差异具有统计学意义(P＜0.05)。结论：PKRP 治疗前列腺增生的临床效果优于TURP，患者恢复快，并发症发生率低，值
得临床合理选用。 |
| 英文摘要: |
| Objective:To explore the clinical effect of transurethral plasmakinetic resection in the treatment of benign prostatic hyperplasia.Methods:Selected 64 cases of benign prostatic hyperplasia patients who doctored in our hospital from January 2013 to 2014, it
was randomly divided into PKRP group and TURP group, 32 cases in each group. Group PKRP patients used transurethral plasmakinetic
resection of prostate for treatment, patients in TURP group with transurethral resection of the prostate for treatment. Comparison of two
groups patients postoperation curative effect index, and recorded the complications.Results:Compared with the TURP group, operation
time of PKRP group significantly increased, the amount of bleeding significantly reduced, indwelling catheter time and hospitalization
shortened significantly, gland excision increased, the differences was statistically significant (P<0.05). After operation, the IPSS, QOL,
RUV and Qmax significantly improved when compared with before (P<0.05), and PKRP group was significantly lower than that of
TURP group, while Qmax was higher than that in group TURP (P<0.05). Adverse reactions of the two groups including transurethral resection
syndrome, temporary incontinence, delayed hemorrhage and urethral stricture, the total incidence rate in PKRP group was significantly
lower than that in TURP group, the difference was statistically significant (P<0.05).Conclusion:The clinical effect of PKRP in the
treatment of benign prostatic hyperplasia is better than TURP and it is worthy of clinical rational use. |
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