| 刘悦.经尿道等离子电切术治疗前列腺增生的临床疗效及术后近期并发症分析[J].实用中西医结合临床,2015,15(12): |
| 经尿道等离子电切术治疗前列腺增生的临床疗效及术后近期并发症分析 |
| Analysis of efficacy and early postoperative complications of transurethral plasma kinetic resection of prostate for treatment of benign prostate hyperplasia |
| 投稿时间：2015-07-20 修订日期：2015-07-20 |
| DOI： |
| 中文关键词: 经尿道等离子电切术 前列腺增生 术后近期并发症 |
| 英文关键词: PKRP BPH Early postoperative complications |
| 基金项目: |
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| 中文摘要: |
| 目的：观察经尿道等离子电切术治疗前列腺增生（BPH）的临床疗效及术后近期并发症。方法：选择BPH患者141例，分为PKRP组76例和TURP组65例，比较两组手术相关观察指标，术前及术后3个月IPSS评分、Qmax、PVR，比较手术并发症的发生率。结果：PKRP组手术时间、术中出血量、住院时间及留置导尿管时间，明显少于TURP组（P＜0.01），血清钠水平降幅，明显低于TURP组（P＜0.01），切除组织量比较无统计学差异（P＞0.05）；两组术后Qmax、PVR、IPSS评分均较术前显著改善，但组间比较无统计学差异（P＞0.05）。PKRP组术中闭孔神经反射、TURS发生率，明显低于TURP组（P＜0.05）。结论：PKRP治疗BPH安全有效，并发症少，值得推广应用。 |
| 英文摘要: |
| Objective: To observe the curative effects of and early postoperative complications of transurethral plasma kinetic resection of prostate(PKRP) for treatment of benign prostate hyperplasia(BPH).Methods: Total 141 BPH patients for surgery were assigned to receive PKRP (n=71) and TURP(n=65) group.The outcome measures of surgey,IPSS,Qmax and PVR were compared before and after operation in two groups.Compared of complications incidence in each group were recorded after three months of operation.Results: The PKRP group operation time,peri-operative bleeding,hospitalization time and indwelling catheter time, was significantly less than the TURP group (P<0.01). The decrease of serum sodium level, was lower than the TURP group(P<0.01). There was no significant difference in the amount of tissue removed(P>0.05). The Qmax, PVR and IPSS scores in two groups, were significantly improved compared, but there were no significant differences between groups(P>0.05). The PKRP group obturator nerve reflex in the operation and rate of TURS, was lower than the TURP group(P<0.05). Conclusion: PKRP treatment of BPH is effective and less complications, worthy of promotion and application. |
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