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目的对比经尿道前列腺电切术(TURP)和经尿道等离子体前列腺剜除术(PKEP)对高龄良性前列腺增生(BPH)患者生活质量及预后的影响。方法将200例高龄BPH患者随机分为研究组和对照组各100例。研究组接受PKEP治疗,对照组接受TURP治疗。比较2组治疗后生活质量改变情况及预后。结果 2组在术前生活质量GQOLI-74量表评分比较无差异(P>0.05),而术后3个月后,研究组GQOLI-74评分均高于对照组(P<0.05)。研究组术后3个月内手术并发症发生率低于对照组(P<0.05)。2组术后1年复发率比较差异无统计学意义(P>0.05)。结论PKEP可有效改善高龄BPH患者的术后生活质量,降低术后并发症发生率,且并不增加术后1年的复发率。
Objective To compare the effects of transurethral resection of prostate (TURP) and transurethral plasmapheresis (PKEP) on the quality of life and prognosis of elderly patients with benign prostatic hyperplasia (BPH). Methods 200 elderly BPH patients were randomly divided into study group and control group of 100 cases. The study group received PKEP and the control group received TURP. The quality of life changes and prognosis of the two groups were compared. Results There was no difference in preoperative quality of life GQOLI-74 scores between the two groups (P> 0.05). After 3 months, GQOLI-74 scores of the study group were higher than those of the control group (P <0.05). The incidence of operative complication in the study group within 3 months after operation was lower than that in the control group (P <0.05). There was no significant difference in recurrence rate between the two groups at 1 year (P> 0.05). Conclusions PKEP can effectively improve the postoperative quality of life of elderly patients with BPH, reduce the incidence of postoperative complications, and does not increase the recurrence rate after 1 year.