经尿道前列腺双极等离子剜除术治疗良性前列腺增生症的临床疗效分析

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摘要 目的:探讨经尿道前列腺双极等离子剜除术(PKERP)治疗良性前列腺增生的临床疗效。方法:回顾性分析2012年6月~2014年1月采用PKERP治疗良性前列腺增生症(BPH)的55例患者的临床资料。对患者的手术时间、手术并发症、手术前和手术后的前列腺重量、前列腺症状评分(IPSS)、生活质量评分(QOL),最大尿流率(Q_max)等进行了比较分析。同时和同期采用经尿道等离子切除(PKRP)的50例患者进行比较。结果:所有患者均未出现电切综合征,无尿道狭窄及膀胱颈口挛缩。采用PKERP患者手术时间(107.20±24.48) min,手术后6个月时Q_max 、IPSS和QOL评分等均较术前明显改善(P＜0.05)。PKERP组与PKRP组在手术时间、留置尿管时间、住院天数、术后IPSS和QOL评分、Q_max等进行比较,两者均差异无统计学意义(P＞0.05),但在切除前列腺组织重量方面差异有统计学意义(P＜0.05)。结论:PKERP治疗BPH具有良好的疗效和安全性,可以获得更彻底的前列腺组织切除,术后效果好,是腔内前列腺切除的有效手术方式。

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	范志强
	刘中华
	朱晓博
	皇甫雪军
	单磊
	丁德刚

关键词 ：前列腺增生, 等离子剜除术, 经尿道手术

Abstract：Objective: To evaluate the safety and efficacy of transurethral bipolar plasmakinetic enucleation and resection of the prostate (PKERP) in the treatment of benign prostate hyperplasia (BPH). Methods: We retrospectively analyzed the clinical data of 55 BPH patients treated by PKERP (PKERP group) at our institution from June 2012 to January 2014. We compared the operation time, operative complications, enucleated tissue weight, the International Prostate Symptom Score (IPSS), quality of life score (QOL) and peak flow rate (Q_max) in PKERP group with 50 BPH patients treated by transurethral plasmakinetic resection of the prostate (PKRP) (PKRP group) at the same time. Results: All patients had no TUR syndrome, no urethral stricture and bladder neck contracture after surgery. The operation time was (107.20±24.48) min in PKERP group. And Q_max, IPSS and QOL scores were significantly improved 6 months after surgery (P＜0.05). The data of operation time, mean catheterization time and hospital stay showed no significant differences between the PKERP group and PKRP group. There were no significant differences in IPSS, QOL and Q_max between the two groups during the follow-up period of 6 months. However, the weight of prostate tissue in PKERP group was heavier than that in PKRP group (P＜0.05). Conclusions: The PKERP technique is a safe and effective therapy for BPH patients. The PKERP technique achieved more complete resection of prostate tissue than PKRP. PKERP may become the most common and effective approach in the treatment of BPH.

Key words： benign prostatic hyperplasia plasmakinetic enucleation transurethral procedures

收稿日期: 2016-03-22

ZTFLH:

R697

通讯作者: 刘中华,18538297986@163.com

引用本文:

范志强,刘中华,朱晓博,皇甫雪军,单磊,丁德刚. 经尿道前列腺双极等离子剜除术治疗良性前列腺增生症的临床疗效分析[J]. 微创泌尿外科杂志, 2016, 5(3): 158-162.
Fan Zhiqiang,Liu Zhonghua,Zhu Xiaobo,Huangfu Xuejun,Shan Lei,Ding Degang. Safety and efficacy of transurethral bipolar plasmakinetic enucleation of the prostate in patients with benign prostate hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(3): 158-162.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1157.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2016/V5/I3/158

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