经尿道前列腺等离子电切术在不同体积前列腺增生患者中的应用

Application of plasmakinetic resection of the prostate for patients with benign prostate hyperplasia

目的观察经尿道前列腺等离子电切术(PKRP)在不同体积前列腺增生患者中的应用.方法选取前列腺增生患者98例,按照前列腺体积不同分组,体积为80~120 mL设为对照组,体积小于80 mL设为观察组,各49例.比较2组患者手术时间、切除前列腺质量、术中出血量、术后留置尿管时间、膀胱冲洗时间、术后住院时间及并发症.结果观察组患者的手术时间与前列腺平均切除质量低于对照组(P<0.01),但2组患者在术中出血量、术后留置尿管时间、膀胱冲洗时间、术后住院时间上差异无统计学意义(P>0.05).2组均无手术并发症的发生.结论不同体积前列腺增生患者在应用PKRP治疗时,临床疗效相当.

Objective To observe the application of plasmakinetic resection of the prostate(PKRP)for patients with benign prostate hyperplasia.Methods Out of 98 patients with prostatic hyperplasia,49 patients with prostate volume ranged from 80~120 mL were set as control group,and 49 patients with prostate volume less than 80 mL were set as observation group.Operation duration,intraoperative blood loss,indwelling catheter time,bladder washing time,hospital stay and complications were compared between two groups.Results There were significant differences in operation duration and resection quality between two groups(P<0.05).There was no complication observed in either of two groups.Conclusion The effects of plasmakinetic resection of the prostate are similar among patients with different volume of prostatic hyperplasia.