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目的比较经尿道超脉冲等离子双极气化电切(TUSPPK)与经尿道前列腺电切术(TURP)治疗BPH的临床疗效。方法 186例BPH患者随机均分成TUSPPK(A)组和TURP(B)组;随访6个月,比较两组手术效果相关指标。结果 A组手术时间、术后膀胱冲洗液转清时间、留置尿管和术后住院时间均明显短于B组(P<0.05)。术后6个月,A组国际前列腺症状评分(IPSS)为(4.4±1.0)分、生活质量评分(QOL)(1.4±0.6)分、最大尿流率(Qmax)(19.5±3.5)ml/s、剩余尿量(PVR)(15±5)ml;B组IPSS为(4.6±1.2)分、QOL(1.6±0.7)分、Qmax(18.5±3.0)ml/s、PVR(25.0±10.0)ml。两组均比术前明显改善(P<0.01);但两组间差异并无统计学意义。结论 TUSPPK与TURP治疗BPH疗效相近;但前者手术时间短、围手术期并发症减少、手术安全性高。
Objective To compare the clinical efficacy of transurethral ultrapulse plasma bipolar vaporization (TUSPPK) and transurethral resection of prostate (TURP) for the treatment of BPH. Methods A total of 186 patients with BPH were randomly divided into TUSPPK (A) group and TURP (B) group. All the patients were followed up for 6 months. Results The operation time of group A, the time of bladder irrigating solution after operation, the length of indwelling catheter and the postoperative hospital stay were significantly shorter than those in group B (P <0.05). Six months after operation, the scores of International Prostate Symptom Score (IPSS) in group A were (4.4 ± 1.0), QOL (1.4 ± 0.6) and Qmax (19.5 ± 3.5) ml / (P <0.01), Qmax (18.5 ± 3.0) ml / s and PVR (25.0 ± 10.0) in group B were significantly higher than those in group B ml. Both groups were significantly improved compared with preoperative (P <0.01), but there was no significant difference between the two groups. Conclusion TUSPPK and TURP are similar in the treatment of BPH. However, the former has short operative time, less perioperative complications and more safe operation.