关键词: 经尿道等离子前列腺电切术, 经尿道双极等离子前列腺剜除术, 巨大良性前列腺增生

Abstract: ［Abstract］ Objective To investigate the curative effect of transurethral plasmakinetic enucleation for treatment of large benign prostatic hyperplasia. Methods Forty?five cases of huge benign prostatic hyperplasia patients from March 2016 to March 2017 were assigned to two groups, PKRP group（treated with plasmakinetie resection of the prostate, n=22）and PKEP group（treated with plasma kinetic enucleation of the prostate, n=23）. The related clinical indicators were recorded and compared between two groups. Results There was no significant difference between the two groups in operation time （t=1.132, P>0.05）. The PKEP group had more prostate tissue resection than PKRP group（t=3.462, P< 0.01）, and the intraoperative blood loss was reduced（t=5.395, P<0.01）, and no perforation occurred in the PKEP group. After 3 months of follow?up, the IPS and QOL of the two groups decreased significantly, and the residual urine decreased significantly. The IPSS and QOL of PKEP group were significantly lower than of PKRP group, and the difference was statistically significant（t=2.093, P<0.05；t=2.761, P<0.01）. There was no significant difference in PVR and hospitalization time between the two groups（P>0.05）. Conclusion Compared with PKRP, PKEP can excise more effective benign prostatic hyperplasia, has less intraoperative bleeding, and is a safer surgical approach.

Key words: transurethral plasmakinetic enucleation of prostate, feasibility, transurethral resection of the prostate, benign prostatic hyperplasia