经尿道等离子前列腺剜除术与经尿道前列腺电切术在良性前列腺增生患者中的效果对比OA

Objective:To compare the application effect of transurethral plasma kinetic enucleation of prostate(TUKEP)and transurethral resection of prostate(TURP)in the treatment of benign prostatic hyperplasia(BPH).Method:A total of 100 BPH patients who admitted to Zhenjiang First People's Hospital from January 11,2022 to June 20,2023 were selected as the study objects,and they were divided into the enucleation group(given TUKEP treatment)and the electrocision group(given TURP treatment)according to random number table method,50 cases in each group.The perioperative indexes,lower urinary tract symptom indexes,serum related factors and complication rate were compared between two groups.Result:The operation time,hospitalization time,symptom disappearance time and catheter indwelling time in the enucleation group were shorter than those in the electrocision group,and the intraoperative blood loss was less than that in the electrocision group,the differences were statistically significant(P<0.05);at 3 months after operation,the international prostate symptom score(IPSS),maximum urine flow(Qmax)and residual urine volume(RV)of two groups were improved compared with those before operation,and the improvement of the enucleation group were greater than those of the electrocision group,the differences were statistically significant(P<0.05);at 3 months after operation,the levels of interleukin-6(IL-6),interleukin-8(IL-8)and prostate specific antigen(TPSA)in two groups were lower than those before operation,and those in the enucleation group were lower than those in the electrocision group,the differences were statistically significant(P<0.05);the incidence of complications in the enucleation group(6.00%)was lower than that in electrocision group(22.00%),and the difference was statistically significant(P<0.05).Conclusion:Compared with TURP,TUKEP is safer in the treatment of BPH,it not only has the advantages of short operation time,less blood loss and faster recovery of patients,but also can better improve the urinary tract function,reduce the levels of IL-6,IL-8 and TPSA,and reduce the occurrence of complications.