经尿道双极等离子电切术治疗良性前列腺增生的临床效果  

Clinical effect of transurethral plasmakinetic prostatectomy in treating benignprostatichyperplasia

作　　者：胡建云[1,2] 万能文 邓宏 陈国涛 

机构地区：[1]江西省抚州市第五医院泌尿外科,江西抚州344000 [2]南昌大学抚州医学院外科教研室,江西抚州344000

出　　处：《中国当代医药》2015年第34期82-84,共3页China Modern Medicine

摘　　要：目的 探讨经尿道双极等离子电切术对良性前列腺增生的治疗效果。方法 选取我院2013年2月~2014年1月收治的60例良性前列腺增生患者并采用抽签的方式分为两组,观察组患者进行经尿道双极等离子电切术治疗,对照组患者进行开放式手术治疗,对比分析两组患者手术后康复情况、并发症发生情况、IPSS、RU、Qamx评分情况等。结果 观察组患者的术中出血量、手术时间、下床活动时间均明显优于对照组,差异有统计学意义（P〈0.05）;观察组患者的并发症发生率为30.00%,明显优于对照组的86.67%,差异有统计学意义（P〈0.05）;观察组患者术后IPSS、RU、Qmax的变化情况明显优于对照组,差异有统计学意义（P〈0.05）。结论 经尿道双极等离子电切术对良性前列腺增生的治疗效果显著,是良性前列腺增生治疗的一种安全手术方法。Objective To explore the therapy effect of transurethral plasmakinetic prostatectomy in treating benignprostatichyperplasia. Methods 60 benignprostatichyperplasia patients from February 2013 to January 2014 of our hospital were selected and divided into two groups by using lottery.Patients in observation group was used transurethral plasmakinetic prostatectomy.Patients in control group was used open rhinoplasty approach.Recovery situation after surgery, incidence of complications,IPSS,RU and Qamx score were compared in two groups. Results All of blood loss during operation,operation time and time to leave bed in observation group were better than control group,with significant difference（P〈0.05）.The incidence rate of complications in observation group was 30.00% ,obvious better than that was 86.67% in control group with significant difference （P〈0.05）.The changes of postoperative IPSS,Residual urine volume （RU） and maximum urinary flow rate （Qmax）in observation group were obvious better than control group with significant difference （P〈0.05）. Conclusion The effect of transurethral plasmakinetic prostatectomy in benignprostatichyperplasia is obvious and is a safety operation method for benignprostatichyperplasia.

关 键 词：经尿道双极等离子电切术 良性前列腺增生 开放性手术 

分 类 号：R697.31[医药卫生—泌尿科学]