经尿道前列腺等离子双极电切术治疗73例高危重度前列腺增生临床分析  

Transurethral plasmakinetic resection of the prostate in high risk patients with large volume BPH

作　　者：张建宗[1] 钟玉蛟[1] 赖建华[1] 张鹏[1] 

机构地区：[1]福建省厦门市中医院泌尿外科,厦门361009

出　　处：《福建医药杂志》2011年第4期18-20,共3页Fujian Medical Journal

摘　　要：目的探讨经尿道前列腺等离子双极电切术治疗高危重度前列腺增生(BPH)的安全性与疗效。方法高危重度BPH 112例,其中采用经尿道前列腺等离子双极电切(TKRP)治疗73例,普通经尿道前列腺电切(TURP)治疗39例;对两组病例的手术时间、切除增生腺体重量、术中出血量、术中输血量、近期手术并发症等进行比较。结果两组手术均获得成功。上述各项两组比较差异均有统计学意义(P<0.05)。术后3个月,TKRP组与TURP组Qmax、RUV、IPSS、QOL较术前明显改善(P<0.05),但组间差异无统计学意义(P>0.05)。结论 TKRP治疗高危重度BPH与TURP相比较具有手术时间短、切除增生腺体组织多、术中出血少、并发症少的特点,提高了手术的疗效。Objective To explore the clinical efficacy and safety of the transurethral Plasmakinetic resection of the prostate（TKRP）in high risk patients with large volume BPH.Methods Among 112 patients with severe BPH,73 cases received TKRP and 39 cases received conventional transurethral resection of the prostate（TURP）.The operative time,resected tissue weight,bleeding volume during operation,blood transfusion volume and the operative complication were compared between the two groups.Results All resections were successful.The mean operative time,resected tissue weight,intraoperative bleeding,the blood transfusion volume,the operative complication were compared in the two groups.The difference between the two groups was significant（P0.05）.With 3 months following up,the Qmax,RUV,IPSS and QOL were significantly improved in both groups（P0.05）,there were no significant difference between the two groups（P0.05）.Conclusion TKRP is a safe and effective method.It could improve the quality of the operation for high risk patients with large volume BPH,with less operative time and larger resected prostate weight and less bleeding volume and less complication during operation.

关 键 词：前列腺增生症 经尿道前列腺等离子双极电切术 经尿道前列腺电切术 

分 类 号：R699[医药卫生—泌尿科学]