仝墨泽  于干  刘见辉  陶汉寿

[摘要] 目的 比较经尿道前列腺等离子电切术（TUPKRP）与经尿道前列腺电切术（TURP）治疗良性前列腺增生（BPH）的疗效指标，探讨两种术式的临床疗效。 方法 回顾性分析2011年1月～2013年6月在本院TUPKRP和TURP治疗的良性前列腺增生的病例资料96例，TUPKP组46例，TURP组50例。通过对两组手术所需时间长短、手术期间出血量大小、切除质量、术后膀胱清洗时间、手术并发症和手术前后3个月的前列腺症状评分、最大尿流率和生活质量进行评分。 结果 TUPKRP组手术时间、术中出血量、术后冲洗时间和并发症的发生率明显低于TURP组，前列腺切除质量高于TURP组，差异具有统计学意义（P＜O.05）；术后3项指标I-PSS、Qmax、QOL都较手术前有明显改善，两者差别无统计学意义（P＞0.05）。 结论 TUPKRP与TURP治疗BPH的疗效相近，但TUPKRP平均手术时间短、术中出血量少、并发症发生率低，具有良好的应用前景。

[关键词] 等离子电切术；电切术；前列腺增生

[中图分类号] R699.8   [文献标识码] B   [文章编号] 2095-0616（2014）08-214-03

Comparison of therapeutic effects between transurethral plasma kinetic resection of prostate and common resection of prostate on benign prostatic hyperplasia

TONG Moze  YU Gan  LIU Jianhui  TAO Hanshou

Department of Urology,the Second People's Hospital of Hefei City,Hefei 230011,China

[Abstract] Objective To compare the clinical efficiency between transurethral plasma kinetic resection of the prostate(TUPKRP) and common transurethral resection of the prostate(TURP) for benign prostatic hyperplasia(BPH). Methods A total of 96 patients with BPH were enrolled from January 2011 to June 2013 and divided into TUPKRP group(46 cases) and TURP group(50 cases). The opration time,blood loss, resected tissue weight, postoperative washing time of bladder and operative complications were compared between two groups. Postoperative parameters, for example,we can see that the international level was complex. Results Operating time, intraoperative blood loss, postoperative washing time of bladder and postoperative morbidity rate were significantly lower in the TUPKRP group, resected tissue weight was significantly higher in the TUPKRP group, I-PSS, QQL and Qmax were significantly improved after the operation(P＜0.05), in the other side it did not have any significance in the two groups(P＞0.05). Conclusion TUPKRP and TURP have similar efficacy in the treatment of BPH.Because of its less operating time，less blood loss，lower postoperative morbidity rate,TUPKRP has a good prospect.

[Key words] Benign prostatic hyperplasia; Plasmakinetie resection of the prostate; Resection of the prostate

2011年1月~ 2013年6月，我院使用TUPKRP和TURP治疗的良性前列腺增生的病例资料96例，其中TUPKRP组46例，TURP组50例，通过对两种手术的具体疗效的比较，报道如下。

1 资料与方法

1.1 一般资料

本研究样本96例，患者均经过两项评分（I-PSS、Q0L）和五项检查（彩超、DRE、PSA、尿动力学和术后病理），确诊为BPH，排除既往有BPH手术史、前列腺癌、逼尿肌无力、不稳定膀胱及神经系统疾病患者。TUPKRP组46例，TURP组50例。TUPKRP组年龄（67.5±4.3）岁，I-PSS（25.6±3.8）分、QOL（4.8±1.2）分、Qmax（8.1±2.2）mL/s、前列腺重量（45.0±4.9）g；TURP组年龄（69.2±4.5）岁，I-PSS（26.3±4.5）分、QOL（4.7±0.9）分、Qmax（7.9±2.6）mL/s，前列腺重量（43.5±5.3）g，两组术前指标差异均无统计学意义（P＞0.05）。

表1  TUPKRP与TURP治疗BPH疗效比较

组别 手术时间

（min） 出血量

（mL） 切除质量

（g） 膀……