等离子电切与汽化治疗前列腺增生对血液动力学、电解质和血糖的影响  

The Effects on the Hemodynamic,Electrolyte and Glucose of Transurethal Bipolar Plasmakentic Resection and Transurethal Vaporization of the Prostate

作　　者：安庚[1] 钟红兴[1] 

机构地区：[1]广州暨南大学附属第一医院泌尿外科,广东广州510630

出　　处：《中国临床医学》2006年第1期121-123,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:比较等离子双极电切(PKRP)与电汽化术(TUVP)在前列腺手术中对血液动力学及电解质和血糖的影响。方法:前列腺增生(BPH)患者采用TUVP 58例和PKRP70例,分别对术前、术中20min、40 min、60 min、80 min及术后的血液动力学、电解质和血糖进行比较。结果:与术前值比较,TUVP组Hb和Hct在术中40 min、60min下降(P<0．05), 80 min下降显著(P<0．01);Na+在术中60min、80min及术后下降(P<0．05);血糖在术中60 min、80 min及术后升高(P <0．05);PKRP组血液动力学、电解质及血糖较术前无显著差异;两组间TUVP组Hb、Hct、Na+和血糖较PKRP组有显著差异(P<0．05)。结论:PKRP对患者血液动力学、电解质及血糖的影响明显<TUVP,是前列腺切除的理想方法。Objective： To compare the effects of transurethal biploar plasmakentic resection of the prostate（PKRP） and tran surethal vaporization of the prostate（TUVP） on the hemoclynamics, electrolyte and glucose. Methods： 128 cases of benign pros tatic hyperplasia（BPH） were arranged into TUVP and PKRP groups randomly. Comparing the results of the hemodynamic, electrolyte and glucose which were measured in preoperative, at the moments of the 20＇ ,40＇ ,60＇ ,80＇of the operation and postop eration. Results： Comparing to the preoperative, Hb and Hct begin to descend from 40min, more severely at 80min in the group of TUVP. Natrium ion appears to descend at 60min, 80min and postoperation and glucose appears to ascend at the same time point. Whereas,there were no differences in the group of PKRP. There were significant differences of the Hb, Hct and glucose between TUVP and PKRP. Conclusion.The impact on the hemodynamies, electrolyte and glucose of PKRP is lighter than TUVP.

关 键 词：经尿道等离子双极电切 经尿道电汽化术 血液动力学 电解质 血糖 

分 类 号：R697.32[医药卫生—泌尿科学]