经尿道前列腺等离子腔内剜除术在治疗前列腺增生症中的应用.doc

精品论文 参考文献 经尿道前列腺等离子腔内剜除术在治疗前列腺增生症中的应用 卢勇 王彦波 郑长征 陈晓生 (广东省揭阳市人民医院泌尿外科 522000） 【中图分类号】R697.3+2【文献标识码】A【文章编号】1672-5085（2012）19-0035-03 【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160例，分为两组；研究组80例采用经尿道前列腺等离子腔内剜除术（PKERP），对照组80例应用常规经尿道前列腺电切术（TURP）。对比两组患者的手术时间、出血量、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80和100min（P＜0.05），平均出血量120和190mL（P＜0.05），术后平均膀胱冲洗时间1.5d和3.5d（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。 【关键词】前列腺增生症 经尿道前列腺等离子腔内剜除术 经尿道前列腺电切除术 The Application of Benign Prostatic Hyperplasia Patients Treated by Transurethral Plasmakinetic Electrocautery Resection of the Prostate LU Yong Wang Yan-bo Zheng Chang-zheng Chen Xiao-sheng (Department of Urology, Hospital of jieyang city,522000, China) 【Abstract】Objective To investigate the effect of benign prostatic hyperplasia (BPH) patients treated by transurethral plasmakinetic electrocautery resection of the prostate (PKERP). Methods 160 patients with BPH selected, divided into two groups; study group, 80 cases were treated with PKERP，80cases were treated with transurethral resection of the prostate (TURP). Compared two groups of operation time, blood loss, postoperative bladder irrigation , intraoperative and postoperative complications. Results The study group and control group, the average operation time was 80 min and 100 min(P＜0.05), average blood loss was 120mL and 190mL (P ＜0.05) average postoperative bladder irrigation was 1.5d and 3d (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. 【Key words】Benign prostatic hyperplasia Plasmakinetic electrocautery resection of the prostate Transurethral resection of prostate 前列腺增生（BPH）是泌尿外科最常见的老年性疾病，并有发病率逐渐上升的趋势。经尿道前列腺电切术（TURP）被誉为治疗BPH的“金标准”。但经过长期临床实践发现还有一些不足之处。我院泌尿外科从2009年开始开展了经尿道前列腺等离子腔内剜除术（PKERP）治疗BPH ，取得了良好的效果，并与常规TURP治疗方法进行疗效的对比，报道如下。 1　资料与方法 1.1　一般资料　本组共160例，年龄56～92岁，平均7