关键词: 经尿道等离子双极前列腺剜除术, 经尿道等离子双极前列腺 切除术, 良性前列腺增生, Meta 分析

Abstract:

Objective To evaluate the safety and efficacy of plasmakinetic enucleation of prostate （PKEP）vs plasmakinetic resection of prostate （PKRP）in treating benign prostatic hyperplasia （BPH） which volume was larger than 60 ml. Methods Databases were searched from 2012/01/01 to 2017/03/02 for collecting the randomized controlled trials about PKEP vs PKRP for the treatment of BPH with volume larger than 60 ml, and then selected the literatures using bringing in and ruling out standard, assessing them and extracting data. Meta-analysis was performed by using the RevMan 5.3. Results Compared with PKRP, PKEP had more resection hyperplastic tissue（WMD=15.29, 95% CI:9.18, 21.40, P<0.001）, shorter operation time （WMD=-17.44, 95% CI:-28.69, -6.19, P=0.002）, shorter catheter time （WMD=-26.51, 95% CI:-36.49, -16.54, P<0.001）, less intraoperative bleeding （WMD=-77.82, 95% CI:-120.90, -34.74, P=0.0004）, but there was no significant difference in the incidence of postoperative complications between PKEP and PKRP. Conclusion  Compared with PKRP for the treatment of BPH which volume is larger than 60 ml, PKEP had more resection hyperplastic tissue, shorter operation time, shorter catheter time, less intraoperative bleeding. But because the original research quality is poor, higher quality, large sample RCT studies are need before clinic promotion.

Key words: benign prostatic hyperplasia, plasma kinetic resection of prostate, meta-analysis, plasma kinetic enucleation of prostate