Abstract：Objective: To compare the effect of transurethral resection of prostate (TURP) and transurethral bipolar plasma kinetic resection of prostate (PKRP) on the urodynamics of patients with benign prostatic hyperplasia. Methods: From August 2013 to December 2014 in our hospital, 76 cases of BPH were enrolled in this study, and divided into TURP group and PKRP gourp by random number table, n=38 each. The operative indicators, postoperative urodynamic indexes, the quality of life and complications were compared between two groups. Results: In PKRP group, intraoperative blood loss was less and catheter indwelling time was shorter in TURP group than in TURP group (both P<0.05). There was no significant difference in urodynamic indexes including maximum urinary flow rate Qmax, maximum detrusor pressure (MDP), maximum bladder urine volume (VMCC), bladder compliance (BC) and residual urine (PVR) in both two groups before and after treatment (P>0.05). The incidences of complications in PKRP group was 7.89% was significantly lower than that in TURP group (26.32%) (χ2=4.547, P<0.05). Conclusions: Both TURP and PKRP can be effective in the treatment of BRH, and can significantly improve the urodynamics, PKRP has advantages in operative time, intraoperative blood loss, and control of complications.
[1]谢天泰,孙胜,杜子友,等.开放手术与经尿道电切术治疗高原地区良性前列腺增生的临床研究.局解手术学杂志,2011,20(5):547-548. [2]徐章寿,邰鹏,李成,等.经尿道等离子双极电切术治疗前列腺增生症的疗效观察与并发症分析.国际泌尿系统杂志,2014,34(5):722-725. [3]Madersbacher S, Alivizatos G, Nordlng J, et al. EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines). Eur Urol, 2004,46(5):547-554. [4]廖伟强,罗立旷.经尿道前列腺电切术1370例手术体会.中华腔镜泌尿外科杂志(电子版),2014,8(2):36-37. [5]Michielsen DP, Coomans D. Urethral strictures and bipolar transurethral resection in saline of the prostate: fact or fiction? J Endourol, 2010,24(8):1333-1337. [6]张玉辉,夏似龙,倪少滨.经尿道2μm激光前列腺剜除术及前列腺电切术治疗大体积良性前列腺增生的疗效比较.现代泌尿外科杂志,2015,20(4):244-247. [7]邱敏捷,庞程,田浩,等.经尿道前列腺剜除术治疗老年前列腺增生的疗效.中国老年学杂志,2015,35(3):665-667. [8]双卫兵,刘强,王东文.良性前列腺增生症患者膀胱小梁化与逼尿肌压力的相关性研究.中国现代医学杂志,2010,20(5):723-725,731. [9]袁丽,江玉.老年良性前列腺增生症合并糖尿病患者的尿流动力学改变分析.河北医学,2015,21(5):733-736. [10]Michielsen DP, Coomans D, Peeters I, et al. Conventional monopolar resection or bipolar resection in saline for the management of large (>60 g) benign prostatic hyperplasia: An evaluation of morbidity. Minim Invasive Ther Allied Technol, 2010,19(4):207-213. [11]赵力,沈文浩,印苏培,等.经尿道前列腺电切术治疗大体积良性前列腺增生安全性及有效性的回顾性对照研究.中华泌尿外科杂志,2015,36(4):299-303. [12]王维帅. 经尿道前列腺电切术对良性前列腺增生患者的疗效及生活质量的影响.中国现代医生,2015,53(3):38-40.
