国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
International Journal of Urology and Nephrology
2015年
6期
832-836
,共5页
许小林%沈建国%金纪忠%王悦
許小林%瀋建國%金紀忠%王悅
허소림%침건국%금기충%왕열
前列腺增生%经尿道前列腺切除术
前列腺增生%經尿道前列腺切除術
전렬선증생%경뇨도전렬선절제술
Prostatic Hyperplasia%Transurethral Resection of Prostate
目的 探讨经尿道前列腺等离子切除术(PKRP)与经尿道前列腺等离子剜除术(PKEP)治疗高危前列腺增生症(BPH)患者的疗效及临床优势.方法 本院2011年7月至2014年7月100例高危前列腺增生患者,按照入院先后顺序随机采用PKRP与PKEP各50例.两组手术前后疗效分别比较,并对照分析两组间手术时间、术中出血量、前列腺切除量、术后留置导尿时间、术后住院时间和术后并发症.结果 两组间一般资料比较无统计学差异(P＞0.05);两组术后IPSS、QOL、Qmax、RUV均明显改善,差异有统计学意义(P＜0.05);对比而言,PKEP组手术时间短于PKRP组(61.6±15.1 vs 92.2±21.2min),PKEP组术中出血量少于PKRP组(70.1±51.3 vs 120.8 ±70.7mL),差异有统计学意义(P＜0.05),PKEP组术后并发症少于PKRP组,差异有统计学意义(P＜0.05).但对于＜50g重量的前列腺,两手术组间手术时间无统计学差异(P＞0.05),对于＞ 100g前列腺,两手术组间术后并发症无统计学差异(P＞0.05).结论 PKRP与PKEP在治疗高危良性前列腺增生症患者疗效显著,相对而言,PKEP手术时间缩短、术中出血减少、术后并发症减少,对高危患者有明显优势.
目的 探討經尿道前列腺等離子切除術(PKRP)與經尿道前列腺等離子剜除術(PKEP)治療高危前列腺增生癥(BPH)患者的療效及臨床優勢.方法 本院2011年7月至2014年7月100例高危前列腺增生患者,按照入院先後順序隨機採用PKRP與PKEP各50例.兩組手術前後療效分彆比較,併對照分析兩組間手術時間、術中齣血量、前列腺切除量、術後留置導尿時間、術後住院時間和術後併髮癥.結果 兩組間一般資料比較無統計學差異(P＞0.05);兩組術後IPSS、QOL、Qmax、RUV均明顯改善,差異有統計學意義(P＜0.05);對比而言,PKEP組手術時間短于PKRP組(61.6±15.1 vs 92.2±21.2min),PKEP組術中齣血量少于PKRP組(70.1±51.3 vs 120.8 ±70.7mL),差異有統計學意義(P＜0.05),PKEP組術後併髮癥少于PKRP組,差異有統計學意義(P＜0.05).但對于＜50g重量的前列腺,兩手術組間手術時間無統計學差異(P＞0.05),對于＞ 100g前列腺,兩手術組間術後併髮癥無統計學差異(P＞0.05).結論 PKRP與PKEP在治療高危良性前列腺增生癥患者療效顯著,相對而言,PKEP手術時間縮短、術中齣血減少、術後併髮癥減少,對高危患者有明顯優勢.
목적 탐토경뇨도전렬선등리자절제술(PKRP)여경뇨도전렬선등리자완제술(PKEP)치료고위전렬선증생증(BPH)환자적료효급림상우세.방법 본원2011년7월지2014년7월100례고위전렬선증생환자,안조입원선후순서수궤채용PKRP여PKEP각50례.량조수술전후료효분별비교,병대조분석량조간수술시간、술중출혈량、전렬선절제량、술후류치도뇨시간、술후주원시간화술후병발증.결과 량조간일반자료비교무통계학차이(P＞0.05);량조술후IPSS、QOL、Qmax、RUV균명현개선,차이유통계학의의(P＜0.05);대비이언,PKEP조수술시간단우PKRP조(61.6±15.1 vs 92.2±21.2min),PKEP조술중출혈량소우PKRP조(70.1±51.3 vs 120.8 ±70.7mL),차이유통계학의의(P＜0.05),PKEP조술후병발증소우PKRP조,차이유통계학의의(P＜0.05).단대우＜50g중량적전렬선,량수술조간수술시간무통계학차이(P＞0.05),대우＞ 100g전렬선,량수술조간술후병발증무통계학차이(P＞0.05).결론 PKRP여PKEP재치료고위량성전렬선증생증환자료효현저,상대이언,PKEP수술시간축단、술중출혈감소、술후병발증감소,대고위환자유명현우세.
Objectives To evaluate the clinical efficacy and advantage of plasma kinetic resection of the prostate (PKRP) and plasma kinetic enucleation of the prostate (PKEP) for the treatment of benign prostatic hyperplasia (BPH) patients with high risk factors.Methods 100 patients from July 2011 to July 2014 were randomly divided into the groups of PKRP (n =50) and PKEP (n =50) according to hospital admission sequence.Efficacy of the two groups was evaluated respectively 3 months after surgery.Comparisons were made between the two groups in operative time,blood loss volume,resected prostate tissue weight,duration of indwelling catheter,length of hospital stay after surgery and complications.Results All the base parameters between the two groups have no statistically significant difference (P ＞ 0.05).The preoperative and postoperative indexes have statistically significant difference by paired T -test (P ＜0.05).Operative time (61.6 ± 15.1 vs 92.2 ±21.2min),blood loss volume (70.1 ±51.3 vs 120.8 ± 70.7mL) and complications in PKEP group are less than PKRP group with significant differences (P ＜ 0.05).The operative time has no difference in the two groups as for ＜50 weight prostate (P ＞0.05).The complications data has no difference in the two groups as for ＞ 100g weight prostate (P ＞ 0.05).Conclusions PKRP and PKEP are safe and effective for the treatment of BPH patients.Relatively,PKEP is superior to PKRP for BPH patients with high risk factors in consideration of less operative time,less blood loss and less complications.
