Different surgical methods for the treatment of prostate hyperplasia and the change of Q max, PVR and PSA
YANG Xiangli
LIU Lei
GAO Jian
HUANG Wei
YANG Yong
Abstract：Objective To compare and analyze the treatment effects of transurethral resection of prostate ( TURP) and transurethral plasma kinetic enucleation of the prostate ( TPKEP) on benign prostatic hyperplasia ( BPH) ,and the influ-ence on operation indexes,maximum urinary flow rate (Q max),post-void residual volume (PVR),prostate specific antigen ( PSA) indicators. Methods One hundred and twenty-eight cases of patients in Tianyou hospital affiliated to Wuhan Univer-sity of Science and Technology were chosen as the research objects, they treated in our hospital from March 2014 to March 2016 and randomly divided into control group and observation group,each group with 64 cases. The control group used TURP treatment, while the observation group adapted with TPKEP. 3 months after treatment, compare the curative effects of two groups of patients, measure the level of Q max, PVR and PSA levels. Evaluate prostate symptoms and quality of life of pa-tients and observe the patients' side effects during the treatment. Results The operation time of the patients in the observa-tion group was significantly less than the control group (t=11. 269, t=21. 164, P< 0. 05),and the postoperative catheter retention was also shorter than the control group (t=7. 048, P< 0. 05). In addition, the IPSS scores and quality of life scores of the two groups were significantly improved (P< 0. 05), and the scores of patients in the observation group were bet-ter (P< 0. 05). Two groups of patients with postoperative Q max, PVR and PSA index improved significantly after surgery, with significantly increased Q max, PVR and PSA declined (P< 0. 05). And indexes of observation group of patients im-proved more significantly than the control group (t=8. 543, t=17. 346, t=7. 876, P< 0. 05). As for the postoperative dysuria and pseudo urinary incontinence, the control group had 10 patients (15. 6%) and 15 patients (23. 4%) respectively, while the observation group were 2 patients (3. 12%) and 5 patients (7. 81%) respectively. The results showed statistically different (χ2 =5. 89,χ2 =5. 93,P< 0. 05), and all adverse reactions disappeared after treatment 3 months. Conclusion Compared with TURP, the TPKEP is used to treat prostate hyperplasia, and patients with good curative effect, quick recovery and low adverse reaction of safety. It is worth further study to broaden the clinical application.
Keywords：Prostatic hyperplasiaBenighTransurethral resection of prostateTransurethral plasma kinetic enuclea-tion of prostateSurgical indicators
Publication Date：2018-01-01
Pages：5( 593-597 )