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目的评价经尿道等离子双极电切术(PKRP)治疗高危良性前列腺增生的近期疗效和安全性。方法采用PKRP治疗我科2006年10月至2011年2月收治的46例高危良性前列腺增生(BPH)患者,观察平均手术时间、术中出血量、术后持续膀胱冲洗时间、留置尿管时间、术后住院时间、手术并发症,记录术前及术后6个月、12个月随访国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、剩余尿量(PVR)等指标并进行统计学分析。结果 PKRP平均手术时间(57.7±20.3)min,持续膀胱冲洗时间(3.2±0.6)d,留置尿管时间(5.6±1.8)d,术后住院时间(6.7±2.5)d,术后随访6个月、12个月IPSS、QOL、Qmax、PRV与术前比较差异均有统计学意义(P<0.05),术后手术近期疗效满意,无死亡、术中输血、电切综合征并发症发生。结论对高危BPH患者来说,PKRP具有术中出血少、视野清晰、术后恢复快、并发症少的优点,是一种更安全有效的术式。
Objective To evaluate the short-term efficacy and safety of transurethral plasmaphotonotectomy (PKRP) in the treatment of benign prostatic hyperplasia (BPH) with high risk. Methods 46 cases of high-risk benign prostatic hyperplasia (BPH) treated in our department from October 2006 to February 2011 were treated with PKRP. The mean operative time, intraoperative blood loss, duration of postoperative bladder washing, indwelling catheter time, Postoperative hospital stay and complications were recorded. Preoperative and postoperative 6 months and 12 months follow-up were recorded, including IPSS, QOL, Qmax, PVR) and other indicators and statistical analysis. Results The mean operation time of PKRP was 57.7 ± 20.3 min, duration of bladder irrigation was 3.2 ± 0.6 days, catheterization time was 5.6 ± 1.8 days, postoperative hospital stay was 6.7 ± 2.5 days, There were significant differences in IPSS, QOL, Qmax and PRV between preoperative and postoperative months (P <0.05). There was no significant difference between the two groups in terms of IPSS, QOL, Qmax and PRV before and 12 months after operation. Conclusion For patients with high-risk BPH, PKRP has the advantages of less intraoperative bleeding, clear vision, faster recovery and less complications. It is a safer and more effective procedure.