经尿道前列腺等离子电切术和经尿道前列腺电切术治疗高龄良性前列腺增生的效果及其安全性对比

摘要

Objective To compare the effect and safety on the treatment of elderly BPH by transurethral resection of prostate versus plasma and transurethral resection of the prostate.Methods Selecting 182 cases with BPH in the hospital from April, 2010 to April, 2014, and dividing them into experimental group and control group according to TUBVP and TURP operation ways.Patients in the experimental group received TUBVP treatment, and the control group received TURP treatment.Operation status, postoperative symptoms and complica-tions were compared between two groups.Results The blood loss, operative time and bladder washing time were significantly less in experimental group than in control group ( P<0.05).Six months postoperatively, I-PSS, Qmax and QOL were significantly improved in two groups (P<0.05),with no statistical difference (P>0.05).Conclusion The two groups have similar efficacy treatment in BPH. Compared TUBVP with TURP, TUBVP is safer than TURP, presenting less bleeding, and shorter operative time.Therefore, TUBVP is bet-ter treatment option for elderly BPH.%目的：研究经尿道前列腺等离子电切术（ TUBVP）和经尿道前列腺电切术（ TURP）治疗高龄良性前列腺增生的效果及安全性对比。方法选取我院2010－04～2014－04间收治的182例高龄良性前列腺增生患者，将其随机分为实验组和对照组。实验组患者给予TUBVP治疗，对照组则采取TURP进行治疗。将两组患者的手术情况、术后症状改善及并发症情况进行比较。结果实验组术中出血量、手术时间、膀胱冲洗时间均较对照组少（P＜0．05）；治疗6个月后两组前列腺症状评分（I－PSS）、最大尿流量（Qmax）、生活质量评分（QOL）均较治疗前改善（P＜0．05），但两组间比较无统计学差异（P＞0．05）。结论 TUBVP和TURP均是治疗良性前列腺增生的有效手术方法，但TUBVP术中出血量少、手术时间短、更加安全，是治疗高龄良性前列腺增生较为理想的治疗方式。