经尿道等离子前列腺剜除治疗良性前列腺增生疗效分析  

Treatment effect of plasmakinetic enucleation of prostate on benign prostatic hyperplasia

作　　者：蒋思雄[1] 王文 孙卫兵[1] 于洋[1] 王志俊 杨玻[1] 

机构地区：[1]大连医科大学附属第二医院泌尿外科,辽宁大连116027 [2]大连旅顺口区人民医院泌尿外科,辽宁大连116041

出　　处：《大连医科大学学报》2014年第3期274-276,共3页Journal of Dalian Medical University

摘　　要：目的：探讨经尿道等离子双极电刀前列腺剜除（PKEP）治疗良性前列腺增生（BPH）的临床应用。方法选择大连医科大学附属第二医院2012年11月-2013年5月，具有手术指征，单纯的BPH患者共计140例，年龄61～84岁，平均68．6岁，随机分为2组。PKEP组（60例）行经尿道等离子双极电刀前列腺剜除术（PKEP），TURP组（80例）行经尿道前列腺电切术（TURP）。统计每例患者术前国际前列腺症状评分（IPSS）、生活质量评分（QOL）和最大尿流率（Qmax），手术时间、术中术后有无并发症、输血，术后尿管留置时间、平均住院日及术后2周IPSS、QOL、Qmax。结果两组IPSS、QOL、Qmax术前术后比较差异有显著性意义（P＜0．05），但两组间比较无明显差异（P＞0．05）。两组平均手术时间差异无显著性意义（P＞0．05），PKEP组和TURP组患者平均尿管留置时间分别为（46．2±12．5）h和（92．6±20．8）h；平均住院日分别为（7．2±2．4）d和（9．1±2．1）d。两组比较差异有显著性意义（P＜0．05）。所有患者术中术后均无输血，TURP组患者术中3例出现电切综合征（TURS）。结论等离子腔内前列腺剜除手术安全、有效，且具有术后尿管留置时间少及住院时间短等优点，可作为治疗BPH的一种选择。Objective To evaluate clinical application of transurethral plasmakinetic enucleation of the prostate （ PKEP） in the treatment of benign prostatic hyperplasia （ BPH） .Methods A total of 140 BPH patients in our hospital , aged 61-84 （mean 68.6） years, with indication of surgery, underwent transurethral plasmakinetic enucleation of the prostate （PKEP group, n=60） or transurethral resection of prostate （TURP group, n=80）.Pre-and post-operative International Pros-tate Symptom Score （ IPSS ） , quality of life （ QOL ） and maximum urinary flow rates （ Qmax ） , as well as intra -and post-operative bleeding and complications were recorded and analyzed .Results There were significant differences between pre-and post-operative IPSS,QOL and Qmax in both PKEP and TURP groups （P〈0.05）.However, the values were not significantly different when compared between the two groups （P〉0.05）.The operation times were not significantly differ-ent between the two groups.The mean time of hospitalization was （7.2 ±2.4）d in PKEP group, versus （9.1 ±2.1）d in TURP group, and the duration of catheterization was （46.2 ±12.5） h and （92.6±20.8） h, respectively（P〈0.05）. One hundred patients did not receive blood transfusion both intra -and post -operation .Three patients in TURP group were complicated by mild intra -operative transurethral resection syndrome （ TURS） .Conclusion PKEP is a safe and ef-fective procedure , which has less time of mean hospitalization and catheterization .PKEP can be chosen as surgical treat-ment for BPH .

关 键 词：良性前列腺增生 经尿道前列腺电切 经尿道等离子前列腺剜除 

分 类 号：R699.8[医药卫生—泌尿科学]