经尿道等离子剜除术治疗良性前列腺增生症

目的分析比较经尿道等离子剜除术（PKEP）治疗良性前列腺增生症（BPH）的安全性和临床疗效。方法选取我院良性前列腺增生患者128例，按就诊顺序分为观察组和对照组，每组64例。观察组采用经尿道等离子剜除术治疗，而对照组则采用经尿道前列腺电切术（TURP）治疗。比较两组患者的术中出血量、腺体切除量、术后国际前列腺症状评分（I-PSS）、生活质量评分（QOL）、最大尿流率（QmaX）和剩余尿（PVR）以及术后并发症的发生率。结果两组的I-PSS、QOL、Qmax、PVR差异均不显著，但是观察组的术中出血量及腺体切除量与对照组差异显著（P〈0．05），且观察组的术后电切综合征的发生率也明显小于对照组。结论PKEP与TURP两种方法治疗BPH的临床疗效相近，但是PKEP的安全性更高、并发症出现率更低。

Transurethral plasma kinetic enucleation in treatment of benign prostate hyperplasia

Objective To discuss the clinical efficacy and safety of PKEP in treatment of BPH. Methods Randomly selected 128 patients with benign prostatic hyperplasia in our hospital and divided into two groups. The observation group were treated with PKEP, while the control group were treated with TURP. Compared intraoperative bleeding vol- ume, postoperative gland resection volume, I-PSS,QOL,Qmax and PVR and incidence between the two groups. Results There were no significant differences in I-PSS, QOL, Qmax and PVR between the two groups. Intraoperative bleeding and postoperative gland resection volume of the observation group took the significant advantage （P 〈 0.05）. And the rate of transurethral resection syndrome in observation group was smaller than that in the control group （P 〈 0.05）. Conclusion PKEP and TURP have the similar clinical efficacy in the treatment of BPH, but PKEP has a higher safety as well as a lower complication rate.