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良性前列腺增生经尿道等离子双极电切术与经尿道汽化电切术疗效比较
引用本文:李科,陶炅华.良性前列腺增生经尿道等离子双极电切术与经尿道汽化电切术疗效比较[J].检验医学与临床,2011,0(13):1563-1564.
作者姓名:李科  陶炅华
作者单位:1. 重庆市中医院泌尿外科,400011
2. 重庆市西郊医院外一科,400050
摘    要:目的探讨比较经尿道等离子双极电切术(TUPKRP)与经尿道汽化电切术(TUVP)治疗良性前列腺增生症(BPH)的临床疗效。方法采用TUPKRP术治疗BPH患者185例与同期采用TUVP术的176例患者做比较,包括:两组手术时间、术中出血、电切综合征(TURS)发生率、包膜穿孔率、术后血清钠、术后国际前列腺症状评分(IPSS),术后生活质量评分(QOL)术后尿道狭窄发生率、继发性出血发生率。结果 TUVP组手术时间、电切综合征发生率、包膜穿孔率、术后当天血清钠,术后尿道狭窄发生率、继发性出血发生率,与PKRP组比较差异有统计学意义(P<0.05)。TUVP组术中出血量(304±110)mL,TUPKRP为(305±100)mL,两者比较差异无统计学意义(P>0.05)。术后1月TUVP IPSS(5.2±1.2)分、QOL(1.2±0.5)分、Qmax(24.1±4)mL/s;TUPKRP为IPSS(4.9±2)分、QOL(1.3±1)分、Qmax(25±3)mL/s,两组比较差异无统计学意义(P>0.05)。结论 TUVP与TUP-KRP治疗BPH疗效基本一致,但TUPKRP安全性更高,适应证更广。

关 键 词:前列腺增生  经尿道前列腺等离子双极电切术  经尿道前列腺汽化电切术

An evaluation of transurethral plasmakinetic resection and transurethral resection of the prostate for the treatment of BPH
LI ke,TAO Jiong-hua.An evaluation of transurethral plasmakinetic resection and transurethral resection of the prostate for the treatment of BPH[J].Laboratory Medicine and Clinic,2011,0(13):1563-1564.
Authors:LI ke  TAO Jiong-hua
Institution:1.Department of Urology,Chongqing Chinese Medicine Hospital 400011,China;2.Department of First Surgery,Chongqing Xijiao Hospital 400050,China)
Abstract:Objective To compare the clinical effect between transurethral plasmakinetic resection of prostate(TUPKRP) and transurethral resection of the prostate(TUVP) for the treatment of benign prostatic hyperplasia(BPH).Methods 185 patients with BPH treated by TUPKRP and 176 patients treated by TUVP were analyzed retrospectively,and the results of duration of operation,intraoperative bleeding,the incidence of transurethral prostate resection syndrome(TURS),capsular perforation rate,postoperative serum sodium,IPSS,i...
Keywords:hyperplasia of prostate  transurethral plasmakinetic resection of prostate  transurethral resection of the prostate  
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