双极等离子体动力技术与经尿道前列腺切除术治疗良性前列腺增生的疗效比较
[Therapeutic efficacy of bipolar plasmakinetic technique compared with transurethral resection on benign prostate hyperplasia].
作者信息
Wu Wei-jiang, Wang Xing-huan, Wang Huai-peng, Zou Wei-bo, Liang Xiao-yu, Cai Zhi-gao, Zhong Wei-wei, Zou Yong-feng, Yuan Dao-zhang
机构信息
Department of Urology, Longchuan People's, Hospital, Longchuan 517300, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2005 Dec 14;85(47):3365-7.
OBJECTIVE
To evaluate the effect and safety of transurethral prostatectomy with the bipolar plasmakinetic technique (PKRP) compared with the transurethral resection (TURP) in the treatment of benign prostate hyperplasia (BPH).
METHOD
Four hundred BPH patients with matched lesions were divided into 2 groups: 200 patients, aged 74.1 (58-91), underwent transurethral prostatectomy with PKRP, and 200 patients, aged 73.8 (56-90), underwent TURP.
RESULT
In the PKRP group the average IPSS decreased from 27.1 +/- 4.5 preoperatively to 11.3 +/- 3.4 postoperatively 6 months after (P < 0.01), the. average maximum flow-rate Q (max) increased from 6.1 +/- 2.4 ml/s preoperatively to 18.6 +/- 3.5 ml/s postoperatively (P < 0.01), and the average residual urine (RU) reduced from 102.3 +/- 43.3 ml preoperatively to 22.6 +/- 16.3 ml after the operation (P < 0.01). However in the TURP group the average IPSS decreased from 26.9 +/- 4.2 preoperatively to 10.8 +/- 3.6 6 months after the operation (P < 0.01), the Q (max) increased from 5.7 +/- 2.4 ml/s preoperatively to 19.1 +/- 3.7 ml/s postoperatively (P < 0.01), and the average RU decreased from 102.3 +/- 43.3 ml preoperatively to 22.6 +/- 16.3 ml after the operation (P < 0.01). There were no significant differences in these parameters between these 2 groups (all P > 0.05). The average catheter retention time was 31.5 h in the PKRP, significantly shorter than that in the TURP group (61.5 hours, P < 0.01). The incidence rate of post-operational asynodia in the PKRP group was 14.3%, not significantly different from that in the TURP group (15.2%, P > 0.05). During the operation no hemorrhage or transurethral resection syndrome (TURS) occurred in the PKRP group, however, there were 5 cases of TURS and 18 cases of blood transfusion in the TURP group.
CONCLUSION
PKRP has the same therapeutic efficacy as TURP on BPH. Moreover, it was more cheaper and with lower complication than TURP.
目的
比较经尿道双极等离子体前列腺切除术（PKRP）与经尿道前列腺切除术（TURP）治疗良性前列腺增生（BPH）的疗效及安全性。
方法
400例病情匹配的BPH患者分为两组：200例患者（年龄74.1岁，范围58 - 91岁）接受PKRP经尿道前列腺切除术；200例患者（年龄73.8岁，范围56 - 90岁）接受TURP。
结果
PKRP组患者术后6个月国际前列腺症状评分（IPSS）平均由术前的27.1±4.5降至11.3±3.4（P < 0.01），平均最大尿流率（Qmax）由术前的6.1±2.4ml/s增至18.6±3.5ml/s（P < 0.01），平均残余尿量（RU）由术前的102.3±43.3ml减至术后的22.6±16.3ml（P < 0.01）。然而，TURP组患者术后6个月IPSS平均由术前的26.9±4.2降至10.8±3.6（P < 0.01），Qmax由术前的5.7±2.4ml/s增至19.1±3.7ml/s（P < 0.01），平均RU由术前的102.3±43.3ml减至术后的22.6±16.3ml（P < 0.01）。两组这些参数无显著差异（均P > 0.05）。PKRP组平均导尿管留置时间为31.5小时，显著短于TURP组（61.5小时，P < 0.01）。PKRP组术后阴茎异常勃起发生率为14.3%，与TURP组（15.2%）无显著差异（P > 0.05）。PKRP组术中无出血及经尿道电切综合征（TURS）发生，而TURP组有5例发生TURS，18例输血。
结论
PKRP治疗BPH的疗效与TURP相同。此外，PKRP费用更低且并发症更少。
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