摘要
Abstract
Objective To explore the clinical effect of of transurethral plasmakinetic prostatectomy in the treatment of benign prostatic hyperplasia. Methods Thirty-eight patients who underwent TUPKP for BPH were selected as observa-tion group,and another 38 BPH patients treated by open operation in the same period was classified into control group. The operation,postoperative rehabilitation,and complication as well as values of international prostate symptom score (IPSS),residual urine volume (RU),and Qmax before and after surgery were compared. Results The operation time in the observation group lasted (45.5±10.1) min,obviously shorter than that in the control group [(88.6±12.7) min].The intraop-erative amount of bleeding in the observation group was (110.0±12.4) ml,which was less than that in the control group [(200.0±18.6) ml].The weight of removed gland in the observation group and control group was (42.6±7.3) g and (53.4±10.1) g respectively,and the former was lower.The time of being off bed in the observation group was (8.0±1.5) d,which was earlier than that in the control group [(15.0±2.1) d].In the observation group,there were 11 cases with complica-tions,while in the control group,there was 29 ones,which displayed statistical difference (P<0.05).After postoperative fol-low-up visits,the value of IPSS decreased to (7.9±2.6) points,lower than (11.6±2.2) points in the control group.The RU reduced to (30.0±11.6) ml in the observation group less than (34.0±10.5) ml in the control group.The Qmax rose to (20.2±4.2) ml higher than that in the control group [(15.8±3.7) ml].The indexes mentioned above all displayed statistical differences in both groups (P<0.05). Conclusion In the treatment of BPH,TUPKP has advantages of short operation time, little wound,thorough removal of gland,few complications,and high safety and obtains a good clinical therapeutic effect.关键词
良性前列腺增生/经尿道等离子双极电切术/开放性手术Key words
Benign prostatic hyperplasia (BPH)/Transurethral plasmakinetic prostatectomy (TUPKP)/Open operation分类
医药卫生
