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目的:对比经尿道前列腺电切术(TURP)与经尿道双极等离子电切术(PKRP)对良性前列腺增生患者尿流动力学的影响。方法:选择2013年8月~2014年12月期间收治的76例良性前列腺增生患者为研究对象,采用随机数字表法分为TURP组和PKRP组各38例,TURP组患者接受经尿道前列腺电切术、PKRP组患者接受经尿道双极等离子电切术,比较两组患者的手术情况、术后尿流动力学指标、生活质量及并发症。结果:手术情况:PKRP组患者手术用时、术中出血量、尿管留置时间明显短于TURP组,P<0.05;但两组患者治疗前后尿流动力学指标最大尿流量(Qmax)、最大逼尿肌压力(MDP)、膀胱最大容尿量(VMCC)、膀胱顺应性(BC)、剩余尿量(PVR)比较差异无统计学意义,P>0.05;生活质量:PKRP组并发症发生率7.89%明显低于TURP组26.32%(χ2=4.547,P<0.05)。结论:TURP与PKRP均可有效治疗良性前列腺增生,并可显著改善尿流动力学,但PKRP在手术用时、术中出血量、并发症控制方面较TURP具有优势。
Objective: To compare the effects of transurethral resection of the prostate (TURP) and transurethral bipolar plasmakill (PKRP) on urodynamics in patients with benign prostatic hyperplasia. Methods: A total of 76 patients with benign prostatic hyperplasia were enrolled in the study from August 2013 to December 2014. The patients were divided into TURP group and PKRP group by random number table. Each patient in TURP group received transurethral resection of prostate The patients in PKRP group underwent transurethral bipolar plasmakinetic resection. The operative conditions, postoperative urodynamics, quality of life and complications were compared between the two groups. Results: The operation condition: The operation time, intraoperative blood loss and catheter indwelling time in PKRP group were significantly shorter than those in TURP group (P <0.05). However, the peak urinary flow (Qmax), maximal detrusor There was no significant difference in MDP, VMCC, BC and PVR (P> 0.05) .Quality of life: The incidence of complications in PKRP group was 7.89% Significantly lower than TURP group 26.32% (χ2 = 4.547, P <0.05). Conclusion: Both TURP and PKRP can effectively treat benign prostatic hyperplasia and can significantly improve urodynamics. However, PKRP has more advantages than TURP in surgery, intraoperative blood loss and complications control.