[1]杨德林,柯昌兴,王剑松,等.等离子电切术中不同方法治疗前列腺增生症(附1900例报告)[J].中华腔镜泌尿外科杂志(电子版),2009,(01):37-42.
　YANG De-lin,KE Chang-xing,WANG Jian-song,et al.Various methods of transurethral plasmakinetic resection of prostate for the treatment of BPH ( Report of 1900 cases)[J].,2009,(01):37-42.
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年01期
页码:
37-42
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Various methods of transurethral plasmakinetic resection of prostate for the treatment of BPH ( Report of 1900 cases)
作者:
杨德林; 柯昌兴; 王剑松; 左毅刚; 颜汝平; 王伟; 刘靖宇; 丁明霞
昆明医学院第二附属医院泌尿外科,云南省泌尿外科研究所,昆明,650101
Author(s):
YANG De-lin; KE Chang-xing; WANG Jian-song; ZUO Yi-gang; YANG Ru-ping; WANG Wei; LIU Jing-yu; DING Ming-xia
关键词:
前列腺增生; 经尿道前列腺切除; 方法
摘要:
目的 探讨经尿道等离子前列腺电切术(PKRP)治疗前列腺增生症(BPH)的方法和疗效.方法 对1900例BPH患者根据前列腺大小及其与包膜粘连情况,253例采用单纯顺行电切法,449例采用分割顺行电切法,912例采用分割逆行剜除法,286例采用完全逆行剜除法进行PKRP.结果 四种方法手术均顺利进行,PKRP手术时间20～195 min,平均(78±27)min.切除腺体组织8～200 g，平均(63±23)g.术中无电切综合征、直肠穿孔、膀胱穿孔发生，1762例获得随访,平均随访时间为(37±6.4)个月.术后短期尿失禁83例、继发出血1例、尿道狭窄54例、膀胱颈挛缩4例、增生复发3例、术后住院期间死亡1例.术后6个月,国际前列腺症状评分、生活质量评分、最大尿流率均较术前明显改善(P＜0.01).结论 PKRP治疗BPH安全有效,再根据腺体大小及其与包膜粘连情况等,采用不同方法电切,能拓宽前列腺电切适应证,降低并发症.

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更新日期/Last Update: 1900-01-01