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经尿道等离子电切术治疗前列腺增生症70例分析 被引量:13

Analysis on 70 Cases with Benign Prostatic Hyperplasia Receiving Transurethral Plasmakinetic Resection of Prostate
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摘要 目的:探讨经尿道等离子电切术(PKRP)治疗前列腺增生症(BPH)的临床效果。方法:对2008年1月至2009年1月间在我院接受PKRP治疗的BPH患者70例进行分析,总结治疗效果和经验。结果:本组切下腺体组织平均为(42.25±2.10)g,手术时间平均(68.20±2.13)min,术中出血量平均(92.28±2.16)mL。所有病例均一次手术成功,主要并发症为穿孔与尿外渗2例、早期出血1例、远期出血2例、暂时性尿失禁1例、前尿道狭窄1例,无继发性大出血及死亡病例。所有病例随访0.5-1年,IPSS降至(15.40±2.30)分,QOL降至(2.06±1.02)分,RUV减至(34.47±2.17)mL。结论:经尿道等离子电切术治疗前列腺增生症的临床效果确切,安全性高,值得临床广泛应用。 Objective: To investigate the clinical effect of transurethral plasmakinetic resection of prostate in treating the benign prostatic hyperplasia.Method: The 70 cases with benign prostatic hyperplasia in our hospital from Jan.in 2008 to Jan.in 2009 were analyzed prospectively,the clinical effect and experience were summarized.Result: The average weight was(42.25±2.10)g,the average operation time was(68.20±2.13)min and the average hemorrhage was(92.28±2.16)mL in this group.All of operations succeeded by one time,and there were 2 cases with perforation and urinary extravasation,1 case with nonage hemorrhage,2 cases with long-term hemorrhage,1 case with caducity uroclepsia and 1 case with anterior urethral stricture,and there was no cases with secondary cases hemorrhea and death.All the cases were followed-up in 0.5 year to 1 year,and the scores of IPSS was decreased to(15.40±2.30),scores of QOL was decreased to(2.06±1.02) and the RUV was decreased to(104.47±2.17)mL.Conclusion: The clinical effect of transurethral plasmakinetic resection of prostate in treating the benign prostatic hyperplasia is obvious and safe,so it is worth being used widely.
出处 《河北医学》 CAS 2010年第8期936-938,共3页 Hebei Medicine
关键词 经尿道等离子电切术 前列腺增生症 Transurethral plasmakinetic resection of prostate Benign prostatic hyperplasia
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