摘要
目的比较经尿道等离子体双极前列腺电切术(PKVP)与经尿道前列腺电切术(TURP)的近期疗效。方法将具有手术指征的前列腺增生症(BPH)患者随机分为两组,分别行PKVP和TURP,监测、记录患者围手术期和术后6个月复查的有关指标,对所测指标进行统计学分析。结果术前两组一般情况比较,差别无显著性(P>0.05);术中或术后12h输血量、电切综合征发生率、术后平均膀胱冲洗时间、置管时间和住院时间、术后继发出血和感染,PKVP组明显少于TURP组(P<0.01);切除前列腺重量占预测重量的百分率,PKVP组明显大于TURP组(P<0.01);手术时间,PKVP组长于TURP组;术后6个月,两组患者症状评分、生活质量评分、最大尿流率均比术前得到明显改善(P<0.01)。结论PKVP治疗BPH具有与TURP相近的近期疗效,远期疗效应优于TURP;术中并发症发生率、患者恢复时间和术后并发症明显少于TURP,是目前有望替代TURP的一种新方法。
[Objective] To evaluate the clinical effect in the near future of transurethral plasmakinetic vaporization of the prostate （PKVP） and transurethral resection of the prostate on the benign prostatic hyperplasia （BPH）. [Method] 90 patients who were diagnosed BPH actually were divided into two groups treated either PKVP or TURP randomely. The perioperative marker and theraputic results were recorded and analysied. [Result] There was no significant difference of preoperative factors between the two groups （P 〉0.05）. The incidence of blood transfusion and TURS occurring, the mean bladder irrigating time, Catheration time, hospital stay time, hemorrhage of prostate, postoperative urinary tract infection were significant less in PKVP than in TURP （P 〈0.01）. The rate of prostate tissue had been excised was higher in PKVP than in TURP （P 〈0.01）. The operating time was longer in PKVP than in TURP. 6 months postoperatively, IPSS QOLS and Qmax were significantly improved. No signicicant difference in the improvement of subjective symptoms and objective results has been noted with the different procedures. [Conclusions] PKVP is as the near future effective as TURP for the treatment of symptomatic BPH. PKVP is more effective methods than TURP in the long-time. As PKVP yields Less adverse side effect and recovering time, it may be a substitute for TURP.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第5期751-753,755,共4页
China Journal of Modern Medicine
