目的 探讨经尿道前列腺双极等离子电切术(TUPKRP)在良性前列腺增生患者中的应用效果。方法 选取2017年1月—2018年4月采用TUPKRP治疗的50例良性前列腺增生患者作为观察组,选择同期采用经尿道前列腺电切术(TURP)治疗的50例良性前列腺增生患者作为对照组; 对比两组治疗效果。结果 两组治疗总有效率比较差异不显著(P>0.05),两组膀胱冲洗时间、腺体切除质量、前列腺症状评分(IPSS)、残余尿(RU)及最大尿流率(Q_max)比较差异不显著(P>0.05),观察组手术时间、术中出血量、QoL、IIEF-5评分及并发症发生率显著优于对照组(P<0.05)。结论 TUPKRP用于治疗良性前列腺增生,在保证疗效的同时可显著减少术中出血量,提高患者的生活质量和性功能,降低并发症发生率,值得临床借鉴应用。

Objective To explore the effect of transurethral bipolar plasmakinetic resection of prostate (TUPKRP) on patients with benign prostatic hyperplasia.Methods A group of 50 patients with benign prostatic hyperplasia treated with TUPKRP from January 2017 to April 2018 were selected as observation group,and another group of 50 patients with benign prostatic hyperplasia treated with transurethral resection of prostate (TURP) at same period were selected as control group.The therapeutic effects were compared between two groups.Results The difference in total effective rate between the two groups was not statistically significant (P>0.05),nor were the differences in the time of washing bladder,removed gland weight,IPSS,RU,and Q_max (P>0.05).The surgery time,blood loss volume during surgery,QoL,IIEF-5 score,and complication rate in the observation group were significantly better than those in the control group (P<0.05).Conclusion TUPKRP applied to benign prostatic hyperplasia could reduce intraoperatve blood loss,reduce the incidence of complications,ensure curative effect,improve the quality of life and sexual function of patients,and therefore it is worthy of clinical application.