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目的:探讨比较经尿道前列腺等离子剜除术(PKEP)与经尿道前列腺电切除术(TURP)治疗大体积前列腺(80m L及以上)的手术效果及安全性。方法:选取大体积(80 m L及以上)前列腺增生患者92例,被完全随机(完全随机表)划分为经尿道前列腺电切组(TURP)45例和经膀胱前列腺摘除术组(TVP)47例。对TURP组患者实施经尿道前列腺电切手术,对TVP组患者实施经膀胱前列腺摘除术,详细记录围手术期指标、术前指标以及术后12月随访指标,包括国际前列腺症状评分(IPSS),生活质量评分(QOL),最大尿流率(Qmax)和膀胱剩余尿量(PVR);术后并发症均记录下来。结果:92患者均成功完成手术及随访,两组患者术后12月随访PKEP组改善较TURP组明显,PKEP组患者切除前列腺较TURP组彻底,出血量少。手术时间短,术后膀胱冲洗时短,术中并发症少;结论:治疗大体积(80 m L及以上)前列腺增生,PKEP手术安全性及疗效均优于TURP。
Objective: To investigate the efficacy and safety of transurethral resection of prostate (PKEP) and transurethral resection of the prostate (TURP) in the treatment of large volume prostate (80m L and above). Methods: Ninety-two BPH patients of large volume (80 m L and above) were enrolled and randomly divided into two groups: transurethral resection of prostate (TURP) group (45 cases) and transurethral resection of prostate group (TVP) group example. Transurethral resection of the prostate in patients with TURP and transurethral resection of the prostate in the TVP group were performed. The perioperative, preoperative and postoperative 12-month follow-up were recorded in detail, including the International Prostate Symptom Score (IPSS) Quality of life score (QOL), maximum flow rate (Qmax) and residual bladder volume (PVR) were recorded. Postoperative complications were recorded. Results: All 92 patients were successfully operated and followed up. The improvement of PKEP group in 12 months postoperatively was more significant than that of TURP group. The prostate of PKEP group was more complete than TURP group and less bleeding. Short operative time, short postoperative bladder irrigation and fewer intraoperative complications. Conclusion: The safety and efficacy of PKEP in the treatment of large volume (80 m L and over) benign prostatic hyperplasia are better than TURP.