耻骨上膀胱穿刺引流在经尿道前列腺等离子电切术中的作用

目的提高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随机分为为耻骨上膀胱穿刺引流组和常规等离子切除术组行前列腺等离子电切术，观察对比前列腺切除大小，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。结果耻骨上膀胱穿刺引流能明显减少手术时间，减少住院天数，切除更多的前列腺体积，术后发生尿失禁，出血等并发症更少，而术后两组IPSS评分和最大尿流率则无明显差异。结论经尿道前列腺等离子切除术结合耻骨上膀胱穿刺引流术，能明显清晰手术视野，缩短手术时间，降低并发症的发生。

Application of Suprapubic Needle Aspiration of Bladder to Transurethral Bipolar Plasmakinetic Resection of the Prostate

Objective To improve the successful rate of operation, shorten the operation and decrease the complication rate of surgery. Methods The patients who needed to receive transurethral resection of prostate were randomly separated into two groups： 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 re ceive 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 average length of stay and the complication rate reduced in Group 1, however there were no significant difference in the IPSS post operation and the maxi mum flow rate between the two groups. Conclusion The advantages of the suprapubic needle aspiration of bladder combined with transurethral bipolar plasmakinetic resection of the prostate are clear field of view during operation, shortening operation time and decreasing complication of PKRP.