经尿道前列腺等离子双极电切治疗高危良性前列腺增生疗效观察  

作　　者：张新涛[1] 王风[1] 常江平[1] 梅红兵[1] 史明[1] 

机构地区：[1]广东省深圳市第二人民医院,518035

出　　处：《浙江临床医学》2013年第5期620-622,共3页Zhejiang Clinical 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良性前列腺增生临床疗效和安全性.方法运用随机数字表法将2010年1月至2012年10月106例良性前列腺增生患者分为A组和B组,每组各53例.B组患者行经尿道前列腺电切术治疗,A组患者采用经尿道前列腺等离子双极电切术治疗,比较两组患者各项临床指标.结果 A组患者在手术所用时间、术中出血量、膀胱冲洗时间、经尿道前列腺电切术综合征、暂时性尿失禁、勃起功能障碍和尿道狭窄方面均少于B组患者,差异有统计学意义（P〈0.05）.治疗后,两组患者在最大尿流率、国际前列腺症状评分表评分和生活质量评分方面均优于入组时,差异有统计学意义（P〉0.05）.结论经尿道前列腺等离子双极电切术治疗良性前列腺增生患者临床疗效与经尿道前列腺电切术治疗方案相当,不仅具有手术所用时间短、术中出血量少、膀胱冲洗时间短、患者术后并发症少等优点,而且还能够明显提高患者的生活质量,改善患者的预后,值得进一步推广.Objective To investigate the clinical efficacy and safety of the treating the benign prostatic hyperplasia of high risk by the transurethral bipolar plasma kinetic resection of the prostate. Methods One hundred and six patients with the benign prostatic hyperplasia who were treated in the department of urinary surgery in our hospital from January 2010 to October 2012 were divided into group A（cases=53）and group B（cases=53）by random number table,patients in group A was given the transurethral resection of prostate,but patients in group B was given the bipolar plasma kinetic resection of the prostate, the various clinical indicators of two groups were evaluated. Results The operation time,the intraoperatve blood soss, bladder irrigation time,the rate of resectoscope electrotomy syndrome,the rate of temporary incontinence,the rate of erectile dysfunction and urethral stricture in group B were lower than that in group A（P〈0.05）,the maximum urinary flow rate, international prostate symptom score scale and the quality of life score after treatment were higher than that at the beginning （P〈0.05）.Conclusion The clinical efficacy and safety of treating benign prostatic hyperplasia of high risk by the transurethral bipolar plasma kinetic resection of the prostate can obtain satisfactory curative effect,it is not only shorter operation time,less intraoperatve blood soss,less bladder irrigation time and less postoperative complications,but also can obviously improve the patient＇s quality of life and the prognosis of patients.it is worthy of clinical application .

关 键 词：经尿道前列腺等离子双极电切术 经尿道前列腺电切术 良性前列腺增生 临床疗效 

分 类 号：R697.32[医药卫生—泌尿科学]