【摘要】 目的：比较经尿道等离子前列腺剜除术（TUKEP）与经尿道前列腺电切术（TURP）治疗良性前列腺增生（BPH）患者的效果。方法：回顾性分析2023年1月至2024年5月该院收治的93例BPH患者的临床资料，依据手术方式不同将其分为观察组47例和对照组46例。对照组予以TURP治疗，观察组予以TUKEP治疗。比较两组临床疗效，手术前后尿流动力学指标[膀胱残余尿量（PVR）、最大尿流率（Qmax）]水平、前列腺症状[国际前列腺症状（IPSS）]评分，手术相关指标（手术时间、术中出血量、术后尿管留置时间）水平，以及并发症发生率。结果：观察组治疗总有效率为89.36%(42/47)，高于对照组的65.22%(30/46)，差异有统计学意义（P<0.05）；术后，两组PVR水平均低于术前，且观察组低于对照组，两组Qmax水平均高于术前，且观察组高于对照组，差异有统计学意义（P<0.05）；术后，两组IPSS评分均低于术前，且观察组低于对照组，差异有统计学意义（P<0.05）；观察组手术时间、尿管留置时间均短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.05）；观察组并发症发生率为8.51%(4/47)，低于对照组的23.91%(11/46)，差异有统计学意义（P<0.05）。结论：TUKEP治疗BPH患者可提高治疗总有效率，改善尿流动力学指标和手术相关指标水平，降低前列腺症状评分和并发症发生率，效果优于TURP治疗。更多还原

【Abstract】 Objective: To compare effects of Transurethral enucleative resection of prostate(TUKEP) and transurethral resection of prostate(TURP) in treatment of patients with benign prostatic hyperplasia(BPH). Methods: The clinical data of 93 patients with BPH admitted to our hospital from January 2023 to May 2024 were retrospectively analyzed. According to different surgical methods, they were divided into observation group(47 cases) and control group(46 cases). The control group was treated with TURP, while the observation group was treated with TUKEP. The clinical effects, the levels of urodynamic indexes [post-void residual urine volume(PVR), maximum urinary flow rate(Qmax)], the scores of prostate symptoms [International Prostate Symptom Score(IPSS)] before and after the surgery, the levels of surgical indexes(operation time, intraoperative blood loss, postoperative catheter indwelling time), and the incidence of complications were compared between the two groups.Results: The total effective rate of the observation group was 89.36%(42/47), which was higher than 65.22%(30/46) of the control group, and the difference was statistically significant(P<0.05). After the surgery, the PVR levels of the two groups were lower than those before the surgery, and that in the observation group was lower than that in the control group; the Qmax levels of the two groups were higher than those before the surgery, and that in the observation group was higher than that in the control group; and the differences were statistically significant(P<0.05). After the surgery, the IPSS scores of the two groups were lower than those before the surgery, that in the observation group was lower than that in the control group, and the differences were statistically significant(P<0.05). The operation time and the catheter indwelling time of the observation group were shorter than those of the control group, the intraoperative blood loss was less than that of the control group, and the differences were statistically significant(P<0.05).Further, the incidence of complications in the observation group was 8.51%(4/47), which was lower than 23.91%(11/46) in the control group, and the difference was statistically significant(P<0.05). Conclusions: TUKEP in the treatment of the BPH patients can improve the total effective rate of treatment, improve the levels of urodynamic indexes and the surgical index levels, reduce the prostate symptom scores and the incidence of complications. Moreover, it is superior to TURP treatment.更多还原