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目的研究术中控压冲洗对经尿道前列腺等离子双极电切术(PKRP)的影响。方法分析确山县第一人民医院泌尿外科120例BPH患者,术中经膀胱造瘘管作控压冲洗106例(控压组),术中高压冲洗134例(高压组),进行两组膀胱内压力变化、术中所用手术时间、切除的平均前列腺重量、术中失血量、术后冲洗时间、术后拔管时间和手术前后的Qmax、IPSS以及术后主要并发症指标的对比观察。结果控压组在膀胱内压力变化、术中所用手术时间、术中失血量和术后1周的IPSS、Qmax方面明显优于高压组(P﹤0.05),且主要并发症少。结论控压冲洗下行PKRP,具有保持术中视野清晰、利于手术连续操作、节约手术时间、减少主要并发症等优点。
Objective To study the effect of intraoperative pressure-controlled irrigation on transurethral prostate bipolar (PKRP). Methods A total of 120 patients with BPH undergoing urinary surgery in First People’s Hospital of Queshan County were enrolled. During the operation, 106 patients underwent pressure-controlled flushing (control pressure group) and 134 patients undergoing high pressure flushing (high-pressure group) The change of pressure, operation time during surgery, average prostate weight after resection, intraoperative blood loss, postoperative irrigation time, extubation time and Qmax, IPSS before and after operation and main complication indexes were compared. Results The pressure-control group was significantly better than the high-pressure group (P <0.05) in intravesical pressure changes, intraoperative operative time, intraoperative blood loss and IPSS, Qmax 1 week after operation, with less major complications. Conclusions Controlled pressure down PKRP has the advantages of maintaining a clear intraoperative visual field, continuous operation, saving operation time and reducing major complications.