PKRP与PVP治疗高龄高危前列腺增生的疗效比较-现代医学

PKRP与PVP治疗高龄高危前列腺增生的疗效比较

作者：卢凯

单位：东南大学

分类号：

出版年·卷·期（页码）：2014··第十二期（0-）

摘要：

目的：比较经尿道前列腺等离子电切术（PKRP）与选择性绿激光汽化术（PVP）在治疗高龄高危良性前列腺增生的疗效及安全性。方法：回顾性分析了2012年4月至2014年2月收治PKRP与PVP治疗高危高龄前列腺增生患者的病例各47例。观察其最大尿流率（Q（max）），排尿后残余尿（PVR），生活质量（QoL），国际前列腺症状评分（IPSS），手术时间，术中出血量，留置导尿时间，住院天数，尿道狭窄和再次手术等临床指标。结果：94例患者均手术成功，PVP组与PKRP组相比，手术时间长，术中出血量少，术后留置尿管及平均住院时间短（P<0.05）。在术后三个月的随访中，PKRP组在术后Q(max)、PVR、IPSS、QOL方面的改善是优于PVP组（P<0.05），PKRP组术后尿道狭窄、尿失禁的概率大于PVP组(P<0.05)。结论：对于治疗高龄高危前列腺增生患者，TURP及PVP治疗各有特点，需根据患者具体病情选择不同治疗方法

Objective:To discuss the overall efficacy and safety of transurethal plasmakinetic resection of prostate(PKRP) vs photoselective vaporization with the green light laser(PVP) in the treatment of benign prostate hyperplasia elder patients with high risk factors.Methods:A retrospective analysis of 94 cases from April 2012 to February 2014 were high-risk elderly patients with benign prostatic hyperplasia, 47cases were treated by PKRP, the rest were treated by PVP.The estimates of maximum flow rate (Q(max)), postvoid residual (PVR), quality of life (QOL), International Prostate Symptom Score (IPSS), operation duration, blood loss, catheterization time, hospital stay, urethral stricture and incontinence were were calculated.Results:A total of 94 cases received successful operation,PVP group was associated with less blood loss, shorter catheterization time and hospital stay, but longer operation duration. At the 3-month follow-up,PKRP group was better in Q(max), PVR, IPSS and QOL. The rate of urethral stricture and incontinence of PKRP group was higher than PVP group.Conclusions:For the treatment of elderly patients with high-risk prostate hyperplasia, TURP and PVP had different characteristics. Different treatment methods should be selected according to the specific patient’s condition.

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