赖在驰 李四化 范翰共

[摘要]目的 探討经尿道等离子前列腺剜除术（PKEP）和经尿道前列腺等离子电切术（PKRP）治疗良性前列腺增生的临床应用效果。方法 选取我院2016年1月～2017年12月收治的100例良性前列腺增生患者，按照随机数字表法分为对照组和研究组，各50例。对照组予以PKRP治疗，研究组予以PKEP治疗。比较两组患者的临床相关指标、并发症发生情况以及干预前后残余尿量、最大尿流率、国际前列腺增生症状评分（IPSS）、生活质量指数（QOL）。结果 研究组的术中出血量少于对照组，切除前列腺重量大于对照组，膀胱冲洗时间、导尿管留置时间、术后住院时间短于对照组（P<0.05）。两组的并发症发生率比较，差异无统计学意义（P>0.05）。两组患者干预前的尿流率、残余尿、PISS、QOL比较，差异无统计学意义（P>0.05）。两组干预后的尿流率、残余尿、PISS、QOL较干预前显著降低（P<0.05），但研究组与对照组比较差异无统计学意义（P>0.05）。结论 PKEP和PKRP治疗良性前列腺增生效果相当，但PKEP治疗对患者创伤损伤小，腺体切除更彻底，患者术后恢复更快。

[关键词]经尿道等离子前列腺剜除术；经尿道前列腺等离子电切术；良性前列腺增生；最大尿流率

[中图分类号] R697+.32 [文献标识码] A [文章编号] 1674-4721（2018）7（c）-0073-03

[Abstract] Objective To investigate the clinical effect of transurethral plasmakinetic enucleation of prostate （PKEP） and transurethral plasmakinetic resection of prostate （PKRP） in the treatment of benign prostatic hyperplasia. Methods A total of 100 cases of benign prostatic hyperplasia treated in our hospital from January 2016 to December 2017 were selected and divided into the control group and the study group according to the random number tables method， 50 cases in each group. The control group was treated with PKRP， and the study group was treated with PKEP. The clinical related indexes， complications， residual urine volume， maximum urine flow rate， international prostatic hyperplasia symptom score （IPSS） and quality of life index （QOL） were compared between the two groups. Results The amount of bleeding in the study group was less than that in the control group， the weight of the prostatic resection in the study group was greater than that in the control group， the time of bladder irrigation， the indwelling time of urethral catheter and the time of hospitalization after the operation of the study group were shorter than those of the control group （P<0.05）. There was no significant difference in the incidence of complications between the two groups （P>0.05）. There was no significant difference in urine flow rate， residual urine， PISS and QOL before intervention between the two groups （P>0.05）. The urine flow rate， residual urine， PISS and QOL decreased significantly in the two groups after intervention， but there was no significant difference between the study group and the group （P>0.05）. Conclusion PKEP and PKRP are effective in treating benign prostatic hyperplasia， but PKEP treatment has less trauma， more radical resection and faster postoperative recovery.

[Key words] Transurethral plasmakinetic enucleation； Transurethral plasmakinetic resection of prostate； Benign prostatic hyperplasia； Maximum urinary flow rate

良性前列腺增生是临床中常见的泌尿外科疾病，多发于中老年男性，随着我国老龄化进程的不断发展，其发病率逐年上升[1]。良性前列腺增生患者主要临床症状表现为排尿困难、尿频、尿潴留等，合并感染时可能出现膀胱刺激征，严重者可伴有肾衰竭，对患者生活质量造成严重影响[2]，因此需要及时给予治疗。良性前列腺增生目前主要治疗方式为外科手术治疗[3]。随……