经尿道双极等离子前列腺剜除术和电切术治疗前列腺增生临床分析  

Clinical analysis on PKEP and PKRP for treating benign prostatic hyperplasia

作　　者：朱震平[1] 黄军成[1] 凌峰[1] 

机构地区：[1]广东省农垦中心医院,广东湛江524002

出　　处：《现代医药卫生》2012年第8期1159-1160,共2页Journal of Modern Medicine & Health

摘　　要：目的对比经尿道双极等离子前列腺剜除术(PKEP)和经尿道双极等离子前列腺电切术(PKRP)治疗前列腺增生(BPH)的效果及安全性。方法对收治的365例BPH患者分别行PKRP 146例和PKEP 219例,比较手术时间、出血量、切除组织量及术后半年并发症发生情况。结果 BPH患者行PKRP和PKEP的近期国际前列腺症状评分、最大尿流率、残余尿量较术前均明显改善。两种术式的手术时间、出血量、切除组织量比较差异有统计学意义(P<0.05)。结论PKEP较PKRP治疗BPH更具有临床实用价值,值得推广。Objective To compare the effects and safety of transurethral plasma kinetic enucleation of prostate（PKEP） and transurethral bipolar plasmakinetic resection of prostate（PKRP） for treatingt benign prostatic hyperplasia（BPH）.Methods 365 cases of BPH were performed PKRP in 146 cases and PKEP in 219 cases respectively.The surgical operation time,bleeding quantity,resected tissue amount and complications in postoperative half year were compared between the two groups.Results In 365 cases of BPH treated by PKRP and PKEP,the IPSS symptom scores,maximum urine flow rate（Qmas） and residual urine volume（RUV） were obviously improved compared with before operation.The operative time,bleeding quantity and resected tissue amount had statistical difference between the two groups（P0.05）.Conclusion PKEP has more clinical practical value than PKRP for treating BPH and is worth expanding.

关 键 词：前列腺增生 经尿道前列腺切除术 前列腺剜除术 对比研究 

分 类 号：R711.31[医药卫生—妇产科学]