经尿道双极等离子前列腺剜除术与电切术治疗良性前列腺增生症的效果比较

摘要

Objective To explore the clinical effect of transurethral bipolar plasma prostatic enucleation and resection of the prostate in the treatment of benign prostatic hyperplasia (BPH). Methods From May 2012 to March 2014,100 cases with BPH in our hospital were evenly divided into transurethral bipolar plasma prostatic enucleation group (enu-cleation group) and transurethral bipolar plasma resection of the prostate group (resection group) in random.The indexes of operation time,intraoperative amount of bleeding,international prostate symptom score (IPSS),quality of life (QOL) score,Qmax,and complication 3 months before and after surgeries were observed in the two groups. Results The operation time,intraoperative amount of bleeding,bladder irrigation time,catheter indwelling time,and postoperative hospital stay in the enucleation group were all shorter in comparison with those in the resection group (P<0.05).Scores of IPSS and QOL 3 months after surgery in the two groups were both lower than those before treatment.The Qmax greatly increased.All these changes in the enucleation group were better.The incidence of complications in the enucleation group was also lower (P<0.05). Conclusion Transurethral bipolar plasma prostatic enucleation in the treatment of BPH obtains a re-markable clinical effect,which is worthy of clinical application and expansion.%目的：探讨经尿道双极等离子前列腺剜除术与前列腺电切术治疗良性前列腺增生症的的临床效果。方法选取2012年5月~2014年3月来本院就诊的良性前列腺增生症患者100例，随机分为经尿道双极等离子前列腺剜除术组（剜除组）及经尿道双极等离子前列腺电切术组（电切组）各50例。观察两组手术时间、术中出血量等指标，记录术前、术后3个月国际前列腺症状评分（IPSS）、生活质量（QOL）评分、最大尿流率（Qmax）及并发症。结果剜除组手术时间、术中出血量、膀胱冲洗时间、尿管留置时间、术后住院时间均短于电切组（P<0.05）。两组术后3个月IPSS、QOL评分明显低于治疗前，Qmax明显增高，尤以剜除组效果为佳；且剜除组并发症率也较低（P<0.05）。结论经尿道双极等离子前列腺剜除术治疗良性前列腺增生症的临床效果显著，值得临床推广应用。