| 经尿道等离子双极电切术治疗高危巨大前列腺增生症50例分析 |
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| 引用本文： | 朱明德,董焱鑫,钱云程,杨军昌,高晓康,霍双进,李东.经尿道等离子双极电切术治疗高危巨大前列腺增生症50例分析[J].临床军医杂志,2011,39(6):1064-1066. |
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| 作者姓名： | 朱明德 董焱鑫 钱云程 杨军昌 高晓康 霍双进 李东 |
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| 作者单位： | 解放军兰州军区乌鲁木齐总医院泌尿外科,新疆乌鲁未齐,830000 |
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| 摘 要： | 目的探讨经尿道等离子双极电切术(TUPKRP)治疗高危巨大良性前列腺增生症(BPH)的临床疗效及安全性。方法 2003年12月—2010年12月,在我院采用TUPKRP治疗的高危巨大BPH患者共50例,观察其平均手术时间、术中出血量、手术并发症、术后住院天数,记录并计算手术前后的国际前列腺症状评分(IPSS)、残余尿量及尿流率改变等指标的差异。结果 50例均安全渡过围术期,平均手术时间(97±42)min,术中出血量(210±75)ml,切除前列腺质量(140±47)g,IPSS由术前平均31.5±4.6下降至9.4±2.4,最大尿流率由术前(4.5±1.3)ml/s增加至术后(14.6±5.1)ml/s,残余尿量由术前(200.4±52.7)ml下降至术后(32.5±13.5)ml,手术前后比较差异均有统计学意义(P<0.05)。结论应用TUPKRP治疗高危巨大BPH,疗效确切,完善的围术期处理是确保安全性的重要保证。
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| 关 键 词： | 前列腺增生症 经尿道等离子双极电切术 高危 剜除术 |
Analysis of transurethral plasmakinetic resection of prostate for high risk huge benign prostate hyperplasia(Reports of 50 cases) |
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| Zhu Ming-de,Dong Yan-xin,Qian Yun-cheng,Yang Jun-chang,Gao Xiao-kang,Huo Shuang-jin,Li Dong.Analysis of transurethral plasmakinetic resection of prostate for high risk huge benign prostate hyperplasia(Reports of 50 cases)[J].Clinical Journal of Medical Officer,2011,39(6):1064-1066. |
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| Authors: | Zhu Ming-de Dong Yan-xin Qian Yun-cheng Yang Jun-chang Gao Xiao-kang Huo Shuang-jin Li Dong |
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| Institution: | Zhu Ming-de,Dong Yan-xin,Qian Yun-cheng,Yang Jun-chang,Gao Xiao-kang,Huo Shuang-jin,Li Dong(Department of Urology,Urumqi General Hospital of Lanzhou Command,PLA,Urumqi Xinjiang 830000,China) |
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| Abstract: | Objective To evaluate the clinical effect and security of transurethral plasmakinetic resection of prostate(TUPKRP) for high risk huge benign proslate hyperplasia(BPH). Methods 50 cases of high risk huge BPH accepted TUPKRP from December 2003 to December 2010 in our hospital.Operation time,blood loss,complications,postoperative hospital stay,international prostate symptom score(IPSS),residual urine volume,uroflowmetry were recorded and calculated. Results All of the 50 cases passed perioperative period safe... |
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| Keywords: | prostatic hyperplasia transurethral plasmakinetic resection of prostate high risk enucleation |
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