摘要
目的:比较经尿道等离子前列腺剜除术(TUPKEP)与经尿道等离子前列腺切除术(TUPKRP)术中灌洗液吸收情况。方法:60例良性前列腺增生(BPH)患者随机平均分配到TUPKEP组和TUPKRP组。两个组使用的灌洗液均为包含1%乙醇的生理盐水。采用乙醇浓度测试仪于手术开始时刻、术中每隔10分钟以及手术结束时测定患者呼气末乙醇浓度。根据乙醇浓度计算患者灌洗液吸收量。结果:两组手术时间没有明显差别,而TUPKEP组切除前列腺组织重量(28.7±7.3)g要明显高于TUPKRP组(17.0±10.1)g(P<0.05),两组手术期间各时相点灌洗液吸收量没有明显差别(P>0.05),术后血红蛋白浓度和血清钠离子浓度也没有明显差别(P>0.05)。结论:TUPKEP组与TUPKRP组相比对腺瘤切除有更彻底的优势,但两者在灌洗液吸收量方面并没有明显差别。
Objective： To compare the fluid absorption of transurethral plasma kinetic enucleation of prostate （TUPKEP） and transnrethral plasma kinetic resection of prostate （TUPKRP）. Methods： Sixty patients with benign prostatic hyperplasia （BPH） were randomly divided into TUPKEP and TUPKRP groups. The irrigation fluid used was 1% ethanol-containing saline solution in both groups. The ethanol concentration detector was used to detect the ethanol concentrations of breath from patients at the beginning of surgery, every 10min in surgery and the end of the surgery. According to the ethanol concentration, the volume of fluid absorption was calculated. Results ： No significant difference was found in surgical time between two groups, but the weight of prostate tissue reseeted in TUPKEP group （ 28.7 ±7.3 ） g was significantly higher than that in TUPKRP group （ 17.0 ± 10.1 ） g （P 〈 0.05）. There was no significant difference in the volume of fluid absorption at each time spot in surgery in both two groups （P 〉 0.05 ）. Furthermore, no obvious difference was found in the concentrations of hemoglobin and serum sodium in two groups after surgery （ P 〉 0.05 ）. Conclusion： Although TUPKEP group have a more thorough advantage in tumor resection over TUPKRP group, there is no significant difference in fluid absorption between two groups.
出处
《广州医学院学报》
2012年第4期11-14,共4页
Academic Journal of Guangzhou Medical College
关键词
良性前列腺增生
灌洗液吸收
乙醇
经尿道等离子切除术
经尿道等离子剜除术
benign prostatic hyperplasia
fluid absorption
ethanol
transurethral plasma kinetic resectionof prostate
transurethral plasma kinetic enucleation of prostate
