经尿道等离子双极电切术治疗前列腺增生临床分析

目的探讨经尿道等离子双极电切术（PKRP）治疗前列腺增生的安全性及临床疗效。方法 2009年2-12月,采用PKRP治疗前列腺增生患者76例,记录手术时间、手术疗效及术后并发症。结果患者手术时间35～130min,平均55min。术中失血60～150mL,均未输血。手术切除前列腺质量18～72g。无直肠和膀胱穿孔,无电切综合征（TURS）及闭孔神经反射发生,无一例发生真性尿失禁,无死亡。术后随访2～6个月,IPSS评分平均为9分,最大尿流率平均为16.7mL/s。结论 PKRP是治疗前列腺增生的理想方法之一。

A Clinical Analysis on Transurethral Plasmakinetic Resection of the Prostate for Benign Prostatic Hyperplasia

Objective To evaluate the efficacy of transurethral plasmakinetic resection of the prostate（PKRP） on benign prostatic hyperplasia.Methods A total of 76patients with benign prostatic hyperplasia from February to December 2009were treated with PKRP.The operative duration,therapeutic effect and postoperative complications were observed and recorded.Results The operative duration ranged from 35to 130minutes（average 55minutes）.The intraoperative blood loss was 60-150mL,and no one needed transfusion.The prostate gland excised weight was 18-72g.There were no intestinal and bladder perforation,no transurethral resection syndrome（TURS）or obturator nerve reflex occurs,and no urinary incontinence or death.IPSS score was nine and the maximal average uroflow was 16.7mL/s during the 2-6month follow-up.Conclusion PKRP is one of the ideal methods treating benign prostatic hyperplasia,especially for high-risk patients with benign prostatic hyperplasia.