经尿道前列腺剜除术治疗老年前列腺增生的疗效

摘要

Objective To observe the therapeutic effect and safety of plasma kinetic enucleation( PKEP) to benign prostatic hyper-plasia( BPH) of aged people.Methods 120 cases of BPH patients were divided into PKEP and plasma kinetic resection of prostate( PKRP) groups.The PKEP group had 75 cases and accepted PKEP while the PKRP group had 45 cases and accepted PKRP.The perioperative pa-rameters, observation parameters and complication 6 months after operation were contrasted.Results The operating time, bladder irrigation time, catheterization time, length of stay and intraoperative blood 1oss of PKEP group were less than those of PKRP group, and the resected prostate volume was larger than that of PKRP group(P<0.05).There were no significant differences of IPSS, QOL, Qmax and PVR between the two groups 6 months after operation(P>0.05).But the patients of PKEP group had lower PSA value than that of PKRP group(P<0.05).There was no significant difference of complications between the two groups(P>0.05).Conclusions PKEP is safety to BPH aged patients.It has short operating time, recovery time and low complication rate.PKEP suits to generalization in all kind of hospital.%目的：观察经尿道前列腺等离子剜除术（ PKEP）治疗老年良性前列腺增生的安全性和临床效果。方法选择120例老年良性前列腺增生患者，其中75例采用PKEP手术、45例采用经尿道前列腺电切术（ PKRP），比较两组围术期各项指标、术后6个月恢复情况和并发症发生率的差异。结果 PKEP组手术时间、术后膀胱冲洗时间、术后留置尿管时间、术后住院时间和手术出血量均少于PKRP组，而前列腺切除体积大于PKRP组（P＜0．05）。术后6个月国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）和残余尿量（PVR）比较两组无显著性差异（P＞0．05），而PKEP组的PSA值低于PKRP组（P＜0．05）。两组的并发症发生率无显著性差异（P＞0．05）。结论 PKEP治疗老年良性前列腺增生安全性好、手术时间短、术后恢复快、并发症发生率低，适合在各级医院推广。