经尿道前列腺等离子电切术联合剜除术治疗前列腺增生症的可行性研究  

Feasibility research on transurethral plasma kineticresection combined with enucleation in treatment of BPH

作　　者：邹火生[1] 黄裕清[1] 余自强[1] 黄敏志[1] 李健[1] 冯凌松[1] 张河元[1] 

机构地区：[1]梅州市人民医院,广东514000

出　　处：《齐齐哈尔医学院学报》2016年第4期445-447,共3页Journal of Qiqihar Medical University

摘　　要：目的研究经尿道前列腺等离子电切术(PKRP)联合剜除术(PKEP)治疗前列腺增生症(BPH)的可行性,为临床应用提供指导。方法回顾性分析2012年6月至2014年6月我院收治的132例前列腺增生患者的临床资料,其中70例行经尿道前列腺等离子电切术联合剜除术,归于实验组,另有62例行经尿道前列腺等离子电切术,归于对照组。手术完成后对两组患者的切除组织重量手术时间、术中出血量、术后膀胱冲洗时间、术后导尿管留置时间、住院时间、手术并发症、最大尿流率(Qmax)、生活质量评分(QOL)、国际前列腺症状评分(IPSS)进行比较。结果与对照组患者比较,实验组患者的切除组织重量较重、术中出血量较少,术后膀胱冲洗时间、术后导尿管留置时间、住院时间均较短,差异有统计学意义(P<0.05);两组患者的手术时间无显著性差异(P>0.05)。术前,两组患者的Qmax、QOL、IPSS比较无显著性差异(P>0.05);术后三月,两组患者Qmax、IPSS、QOL较术前显著改善,差异有统计学意义(P<0.05),而两组患者同期比较,无明显差异(P>0.05);实验组并发症发生率较对照组高,为显著性差异(P<0.05)。结论 PKRP联合PKEP治疗前列腺增生症BPH可在有效改善PKRP不足的同时降低PKEP的操作难度,适宜于临床推广应用。Objective To study the feasibil-ity research of transurethral plasma kineticresection（PKRP） combined with enucleation （PKEP） in treatment of BPH, and provide guidance for clinical application. Methods Retrospective analyzed 132 patients with BPH admitted in our hospital clinical from June 2012 to June 2014, selected 70 of whom treated with transurethral plasma kineticresection combined enucleation as the experimental group, another 62 treated with transurethral plasma kineticresection were selected as the control group. On two groups of patients after operation time, intraoperative blood loss, postoperative bladder washing time, catheter indwelling time, length of hospital stay, postoperative complications, maximum urinary flow rate （Qmax） marks, quality of life （QOL）, the international prostate symptom score （IPSS） were compared. Results Compared with the control group, the patients of tissue removed was heavier, intraoperative blood loss was less, postoperative bladder washing time, postoperative catheter indwelling time, length of hospital stay were shorter, the differences had statistically significant （ P 〈 0. 05 ） ; The operation time of Two groups had no significant difference （P 〉 0. 05）. The preoperative Qmax, QOL, IPSS of two groups comparison had no significant difference （ P 〉 0. 05 ） ; After three months, Qmax, IPSS, QOL of two groups were improved significantly, the differences were statistically significant （ P 〈 0. 05）, and two groups of patients during the same period had no significant difference （ P 〉 0. 05 ） ; The complication rate of the experimental group was higher than the control group, which was significantly different （ P 〈 0. 05 ）. Conclusions PKRP combined PKEP in treatment of BPH treatment can effectively improve insufficient of PKRP and decrease the difficulty of the PKEP, suitable for clinic popularization and application.

关 键 词：经尿道前列腺等离子电切术 经尿道前列腺等离子剜除术 前列腺增生症 

分 类 号：R697.3[医药卫生—泌尿科学]