膀胱穿刺引流在等离子电切治疗重度前列腺增生中的应用

目的提高重度前列腺增生症手术的成功率,缩短手术时间,减少并发症的发生。方法将前列腺增生患者分为重度增生组和普通组,重度增生组先行膀胱穿刺造瘘术再行前列腺等离子电切术,普通组直接行前列腺等离子电切术,观察对比前列腺切除质量,手术时间,留置导尿时间,平均住院时间,术后排尿症状评分,术后并发症发生情况等。结果膀胱穿刺造瘘术能明显减少手术时间,切除更多的前列腺体积,减少术后并发症,而术后两组IPSS评分和最大尿流率则无明显差异。结论膀胱穿刺造瘘术结合经尿道前列腺等离子电切术治疗重度前列腺增生症,能提高手术成功率,缩短手术时间,减少并发症的发生。

Objective To improve the successful rate of operation,shorten the operation and decrease the complication rate of suegery. Methods The patients who needed to receive transurethral resection of prostate were separated into two groups： the volume of prostate 〉60ml and 〈 60ml. In group 1 the patients received the suprapubic needle aspiration of bladder before the transurethral bipolar plasmakinetic resection of the prostate; in group 2 the patients didn＇t receive the suprapubic needle aspiration of bladder. The volume of resected prostate, the operation time, the average time of urethral catheterization, the average length of stay, the IPSS post operation and the complication were compared. Results The operation time, the complication rate reduced and the more volume of resected prostate in group 1,however there were no significant difference in the IPSS post operation and the maximum flow rate between the two groups. Conclusion The advantages of the suprapubic needle aspiration of bladder combined with the transurethral bipolar plasmakinetie resection of the prostate are clear field of view during operation, shortening operation time and decreasing complication of PKRP of the big prostate.