经尿道等离子腔内剜除术在治疗良性前列腺增生的疗效分析  

Analysis of Curative Effect of Plasmakinetic Enucleation of Prostate in the Treatment of Benign Prostatic Hyperplasia

作　　者：梁强枝 彭晓东[1] 温天奋 黄宗谋 何自浪 

机构地区：[1]广东省怀集县人民医院泌尿外科,广东肇庆526400

出　　处：《临床医学工程》2013年第4期442-443,共2页Clinical Medicine & Engineering

摘　　要：目的分析经尿道等离子腔内剜除术在治疗良性前列腺增生的疗效。方法回顾性分析2009年1月至2012年6月来我院就诊的136例良性前列腺增生患者的临床资料,66例经尿道前列腺等离子剜除术(PKEP),70例经尿道前列腺等离子双极电切术(PKRP)。结果经尿道前列腺切除术患者与经尿道前列腺等离子剜除术相比,经尿道前列腺切除术手术时间较长,切除腺体量较少,术后留置导尿时间较长;经尿道前列腺等离子剜除术术中出血量较少,外科包膜穿孔少,住院时间短;经统计学分析术后并发症发生率差异无统计学意义。结论经尿道前列腺切除术与经尿道前列腺等离子剜除术,临床疗效相似,但是经尿道前列腺等离子剜除术对患者预后有更加确切的疗效,降低了患者的经济负担,提高了患者的生活质量。Objective To analyze the curative effect of plasmakinetic enucleation of prostate （PKEP） in the treatment of benign prostatic hyperplasia. Methods The clinical data of 136 patients with benign prostatic hyperplasia in our hospital from January 2009 to June 2012 were analyzed retrospectively, including 66 cases of plasmakinetic enucleation of prostate （PKEP）, and 70 cases of plasmakinetic resection of the prostate （PKRP）. Results The comparison between patients with PKEP and patients with PKRP showed that： patients with PKRP had longer operation time, less resection range, and longer postoperative indwelling catheter time; patients with PKEP had fewer intraoperative blood loss, less perforation, shorter length of hospital stay. The difference of incidence of postoperative complications was not statistically significant. Conclusions The curative effects of PKEP and PKRP in the treatment of benign prostatic hyperplasia are similar, but PKEP has more exact curative effect to patients＇ prognosis, which can reduce the economic burden of patients, and improve the patients＇ quality of life.

关 键 词：良性前列腺增生 经尿道等离子腔内剜除 疗效分析 

分 类 号：R697.3[医药卫生—泌尿科学]