经尿道等离子前列腺剜除术治疗前列腺增生症的疗效分析被引量：18

Efficacy of transurethral plasma kinetic enucleation of the prostate in treatment of benign prostatic hyperplasia

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摘要目的探讨经尿道前列腺等离子剜除术（TUPK—EP）治疗巨大良性前列腺增生（BPH）的疗效。方法入选2013年1月至2015年12月广州市增城区新塘医院泌尿外科收治的巨大BPH患者65例，依据治疗方法分为两组：经尿道前列腺等离子电切术（TUPK—RP）组（n=32）和TUPK-EP组（n=33）。对比两组患者的疗效、最大尿流量（Qmax）及残余尿量（PVR）等临床指标。结果与TUPK—RP组相比，TUPK—EP组患者的手术时间显著缩短、冲洗液用量和术中出血量显著减少、Hb下降值亦显著降低，而腺体切除量显著增加，差异均具有统计学意义（P〈0．05）。术后3个月的复查结果显示，与TUPK—RP组相比，TUPK—EP组的Qmax显著增高、PVR显著降低，差异均具有统计学意义（P〈0．05）。结论在治疗巨大BPH时，与TUPK—RP比较，TUPK—EP的优势更明显，能更完全地切除腺体．缩短手术时间，降低术中出帆量．佰得临床推广席用。 Objective To investigate the therapeutic effect of transurethral plasma kinetic enucleation of the prostate （TUPK-EP） for huge benign prostatic hyperplasia （BPH）. Methods A total of 65 patients with huge BPH admitted in our hospital from January 2013 to December 2015 were recruited in this study. They were divided into the TUPK-EP group （ n = 33 ） and transurethral plasma kinetic resection of the prostate （TUPK-RP） group （n = 32）. Efficacy, maximum urinary flow rate （Qmax） , and residual urine volume （PVR） were analyzed and compared between the 2 groups. Results Compared with the TUPK-RP group, the patients of the TUPK-EP group had significantly shorter operation time, smaller amount of lavage fluid, reduced intra-operative bleeding volume, decreased hemoglobin （Hb） levels, but larger removal size （ P 〈 0.05 ）. In 3 months after operation, the Qmax value was higher, but the PVR was lower in the TUKP-EP group than in the TUKP-RP group （ P 〈 0.05 ）. Conclusion In the treatment of huge BPH, TUKP-EP is superior to TUKP-RP in radical removal of the gland, shorter operation time and reduced blood loss. It is worthy of promotion in clinical practice.

作者罗成军李静文

机构地区广州市增城区新塘医院外一科

出处《中华老年多器官疾病杂志》 2016年第8期617-620,共4页 Chinese Journal of Multiple Organ Diseases in the Elderly

关键词良性前列腺增生经尿道前列腺等离子剜除术经尿道前列腺等离子电切术 benign prostatic hyperplasia transurethral plasma kinetic enucleation of the prostate transurethral plasma kinetic resection of the prostate

分类号 R699.8 [医药卫生—泌尿科学]

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