Comparative Study Of TUPKP And TURP In The Tyeament Of Benigin Prostatic Hyperplasia

Objective:To evaluate the treatment of benign prostatic hyperplasia(BPH)method, namely the plasmakinetic resection of the prostate(TUPKP) andtransurethral resection of the prostate(TURP), including the clinical efficacy and safety of operation. Methods:In the experimental group were divided into two groups, namely TURP group and TUPKP group. TURP group, from the 2011 January-10 months of Taishan Medical University Affiliated Hospital of Zouping countyfrom the Department of urology were randomly selected as the BPH of the patients in 110 cases, underwent TURP operation treatment; group TUPKP,from 2013 January-2013 year in October were randomly selected from the same department were diagnosed as BPH patients 140 cases, underwent TUPKP operation treatment. Should pay attention to 2 group of patientsshould be unified inclusion and exclusion criteria, and do the routinedetection of preoperative PSA values, prostate volume measurement, by a digital rectal exam clear prostate abnormal hyperplastic nodules, the morphological and texture, as well as other preoperative routine examination. Should pay attention to, must be fully aware of the urinary system has no other lesions and history. In the experiment, all 2 groups were observed in patients with operation experience level of blood glucoseover time, amount of bleeding in the operation, at the end of operationchanges, the sodium ion plasma levels in the blood after the operation,operation before and 1 months after operation respectively, International Prostate Symptom Score(IPSS), residual urine volume(RUV), maximumurinary flow rate(Qmax), quality of life score(QOL), to observe theoperation complications and prognosis etc.. Results:In group TUPKP, the average operation time, amount of bleeding,postoperative mean flushing time than that of TURP group decreased significantly(P< 0.05); TURP group operation end blood sodium, blood glucose values had significant differences compared with the preoperative(P< 0.05), serum sodium and glucose values compared with those before operation showed no obvious changes of TUPKP group when end ofoperation(P>0.05). 1 months after operation between 2 groups of above indexes showed no obvious changes(P>0.05), compared with the operationof the differences were statistically significant value of 1 months of IPSS,QOL, Qmax, RUV after operation(P<0.01), and various postoperativecomplications compared the differences were statistically significant(P<0.05). Conclusion:TURP, TUPKP are currently in transurethral resection surgeryoperation of effective treatment of prostate hyperplasia, can significantly improve the symptoms of lower urinary tract obstruction. Group TUPKP patients in the experiment operation does not happen in the transurethral resection syndrome operation, less bleeding, experimental results show that the operation had no significant effect on blood glucose, blood sodium concentration operation, the total rate of complications was lower than that in TURP group, according to the experimental results, the TUPKP operationis safe, is at present the operation method of urethra the ideal therapy for BPH. But because of the limited sample size, short duration of follow up, the need for controlled trials to confirm this conclusion increase the sample size.