摘要
目的探讨经尿道前列腺等离子腔内剜除术(PKERP)治疗前列腺增生症(BPH)中的有效性。方法入选BPH患者120例,分为两组;研究组60例采用经尿道前列腺等离子腔内剜除术(PKERP),对照组60例应用常规经尿道前列腺等离子切除术(PKRP)。对比两组患者的手术时间、出血量、术后住院时间、术中术后并发症的情况。结果研究组和对照组的平均手术时间分别为65和90min(P<0.05),平均出血量100和180mL(P<0.05),平均术后住院时间6和9d(P<0.05);研究组发生1例包膜切穿,冲洗液外渗发生率1.7%,对照组发生3例包膜切穿,冲洗液外渗发生率5%(P<0.05);研究组短期尿路刺激症状者5例(8.3%),对照组短期尿路刺激症状者11例(18%)(P<0.05)。结论 PKERP是治疗BPH的有效手术方法,具有切除腺瘤彻底、手术时间短、出血少、住院时间短、并发症少等优点。
Objective To investigate the effect of benign prostatic hyperplasia （BPH） patients treated by transurethral plasmakinetic electrocautery resection of the prostate （PKERP）. Methods 120 patients with BPH selected, divided into two groups; study group, 60 cases were treated with transurethral PKERP, 60 cases were treated with transurethral plasmakinetic resection of the prostate （PKRP）. Compared two groups of operation time, blood loss, postoperative hospital stay, intraoperative and postoperative complications. Results The study group and control group, the average operation time was 65 min and 90 min （P〈0.05）, average blood loss was 100mL and 180mL （P〈0.05） mean postoperative hospital stay was 6d and 9d （P〈0.05）; study group occurred in 1 patient cut through the capsule, fluid extravasation rate of 1.7% in the control group were 3 cases of cut through the capsule, fluid extravasation rate of 5% （P〈0.05）; Study Group short-term urinary tract irritation person 5 cases （8.3%）, short-term control group, 11 cases of urinary tract irritation （18%） （P〈0.05）. Conclusion PKERP is an effective surgical method of treatment of BPH, with complete removal of adenoma, short operation time, less bleeding, shorter hospital stay, less complications.
出处
《中国医药指南》
2010年第24期9-11,共3页
Guide of China Medicine
关键词
前列腺增生症
经尿道前列腺等离子腔内剜除术
经尿道前列腺等离子切除术
Benign prostatic hyperplasia
Plasmakinetic electrocautery resection of the prostate
Plasmakinetic resection of the prostate
