CAJ | 학술논문

　　目的探讨等离子电切镜经尿道前列腺剜除术（PKEP）与前列腺电切术（PKRP）对于良性前列腺增生（BPH）的治疗情况。方法回顾性分析我科门急诊2009年4月至2012年4月收治的BPH患者245例，PKEP术治疗108例，PKRP术治疗137例。分别比较两组患者的手术时间、术中出血量、腺体切除量、主要并发症发生率、术后3个月最大尿流率（Qmax）、国际前列腺症状评分（IPSS）、生活质量指数评分（QOL）等情况。结果两组患者在术中出血量、腺体切除量方面有显著性差异（P＜0.01）,两组在手术时间、并发症发生率、术后3个月Qmax、IPSS、QOL方面无显著性差异（P＞0.05）。结论 PKEP与PKRP相比,近期疗效相近,但术中出血更少、切除腺体更彻底,是治疗前列腺增生安全、有效、较为理想的方法。
　　목적탐토등리자전절경경뇨도전렬선완제술（PKEP）여전렬선전절술（PKRP）대우량성전렬선증생（BPH）적치료정황。방법회고성분석아과문급진2009년4월지2012년4월수치적BPH환자245례，PKEP술치료108례，PKRP술치료137례。분별비교량조환자적수술시간、술중출혈량、선체절제량、주요병발증발생솔、술후3개월최대뇨류솔（Qmax）、국제전렬선증상평분（IPSS）、생활질량지수평분（QOL）등정황。결과량조환자재술중출혈량、선체절제량방면유현저성차이（P＜0.01）,량조재수술시간、병발증발생솔、술후3개월Qmax、IPSS、QOL방면무현저성차이（P＞0.05）。결론 PKEP여PKRP상비,근기료효상근,단술중출혈경소、절제선체경철저,시치료전렬선증생안전、유효、교위이상적방법。
?Objective?To compare the efficacy and complications between bipolar plasmakinetic resection of prostate and bipolar plasmakinetic enucleation of prostate for benign prostatic hyperplasia(BPH). Methods A total of 245 patients with BPH were enrolled from April 2009 to April 2012 and divided into PKVP group(137 cases) and PKEP group(108 cases). The operative time,resected tissue weight ,intraoperative blood loss , postoperative complication rate,international prostate symptom score (IPSS),quality of life (QOL) and maximum urinary flow rate (Qmax) at the postoperative 3 months were compared between the 2 groups.Results Intraoperative blood loss and resected tissue weight were significantly higher in the PKEP group(P<0.01). but there was no significant differences in the parameters including operative time, postoperative complication rate, IPSS , QOL and Qmax of 3 monthes after operation between the 2 groups(P>0.05). Conclusion PKVP and PKEP have significant efficacy in the treatment of BPH.But intraoperative blood loss and resected tissue weight of PKEP have more superior than those of PKRP,so PKEP has a good prospect.