经尿道等离子前列腺剜除术治疗良性前列腺增生  

Transurethral Bipolar Plasma Kinetics Enucleation in the Treatment of Benign Prostate Hyperplasia

作　　者：屈维龙[1] 汪益民[1] 尤志新[1] 

机构地区：[1]昆山市第二人民医院泌尿外科,江苏昆山215300

出　　处：《贵州医科大学学报》2016年第12期1444-1447,共4页Journal of Guizhou Medical University

基　　金：苏州科学技术局医疗卫生应用基础研究指导性立项(SYSD2016039)

摘　　要：目的:观察经尿道双极等离子前列腺剜除术(PKEP)治疗良性前列腺增生(BPH)的临床疗效。方法:106例BPH患者均分为观察组(行PKEP)和对照组(行经尿道双极等离子前列腺电切术,PKRP),记录两组患者手术时间、膀胱冲洗时间及术中出血量用于评价手术效果;记录两组患者手术前和术后6月时患者的残余尿量(RUV)和最大尿流率(Qmax)用于评价术后患者尿道功能恢复情况;比较两组患者继发性出血、暂时性尿失禁、膀胱痉挛、尿道损伤等手术并发症。结果:观察组的手术时间、术间出血量及膀胱冲洗时间均明显低于对照组(P<0.05);治疗后,两组患者RUV少于治疗前,Qmax高于治疗前(t=24.45、21.8、58.2、36.43,P<0.01);治疗后两组患者RUV和Qmax比较,观察组RUV少于对照组,Qmax高于对照组(t=22.39、20.56,P<0.01);治疗后两组均未发生永久性尿失禁病例,观察组并发症发生率(7.55%)低于对照组(22.64%),差异有统计学意义(χ2=4.71,P<0.05)。结论:PKEP治疗良性前列腺增生的效果优于PKRP。Objective： To observe the effectiveness and safety of transurethral bipolar plasma kinetic enucleation of the prostate （PKEP） in treatment of benign prostate hyperplasia （BPH）. Methods： 106 cases of patients with BPH were divided into observation group （PKEP） and control group （tran- surethral plasma kinetic resection of prostate, PKRP）. The operation time, intraoperative blood loss and bladder irrigation time in two groups of patients were recorded to evaluate the effect of surgery. Preoperative and postoperative residual urine volume （RUV） and maximum urinary flow rate （Qmax） were recorded in the two groups of patients to evaluate patients＇postoperative urethral function recover- y. The secondary bleeding, temporary urinary incontinence, bladder spasm, urethral injury and other surgical complications were compared between the two groups of patients. Results： The operation time, intraoperative blood loss and the time of bladder irrigation in the observation group were signifi- cantly lower than those in the control group （ P 〈 0.05 ）. After treatment, the RUV in two groups of patients was less than before treatment, while Qmax was higher than before treatment （ t = 24. 45, 21.8,58.2,36.43 ,P 〈0.01 ）. After treatment, the two groups of patients with RUV and Qmax com- parison, the observation group RUV less than the control group, Qmax higher than the control group （t =22.39,20.56,P 〈0.01 ）; After treatment, the RUV in the observation group was less than that of the control group while Qmax was higher than that of the control group（t =22. 39,20. 56 ,P 〈0.01 ）. After treatment, there was no permanent urinary incontinence cases occurring in the two groups. The complication rate of the observation group （7. 55% ） was lower than that of the control group （22.64%）, and the difference was statistically significant （X2 =4. 71 ,P 〈0.05）.Conclusion： The effect of PKEP in the treatment of benign prostatic hyperplasia is better than that of PKRP.

关 键 词：良性前列腺增生症 经尿道双极等离子前列腺剜除术 经尿道双极等离子电切术 残余尿量 最大 尿流率 并发症 

分 类 号：R697.32[医药卫生—泌尿科学]