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目的探讨经尿道汽化电切(TUVP)、经尿道等离子电切(PKRP)治疗高危良性前列腺增生症(BPH)的疗效。方法 60例高危BPH患者随机分为TUVP组和PKRP组,观察前列腺症状评分(I-PSS)、最大尿流率(Qmax)、生活质量评分(QOL)、手术时间、术中出血量、住院天数情况。结果两组术后I-PSS、Qmax、QOL评分较术前明显改善,P<0.05;PKRP组的手术时间、术中出血量、住院天数显著少于TUVP组,P<0.05。结论 PKRP治疗高危BPH的临床效果优于TUVP。
Objective To investigate the efficacy of transurethral electrovaporization (TUVP) and transurethral plasmakinectomy (PKRP) in the treatment of high-risk benign prostatic hyperplasia (BPH). Methods Sixty high-risk BPH patients were randomly divided into TUVP group and PKRP group. Prostate symptom score (I-PSS), maximal flow rate (Qmax), quality of life score (QOL), operation time, intraoperative blood loss, Happening. Results The postoperative I-PSS, Qmax and QOL score of the two groups were significantly improved compared with those before operation (P <0.05). The operation time, intraoperative blood loss and hospital stay in PKRP group were significantly less than those in TUVP group (P <0.05). Conclusion The clinical effect of PKRP in treating high-risk BPH is better than that of TUVP.