[1]梅红兵,王风,常江平,等.经尿道前列腺电切术与双极等离子电切术治疗良性前列腺增生的临床比较[J].中华腔镜泌尿外科杂志(电子版),2010,(03):222-226.
 MEI Hong-bing,WANG Feng,CHANG Jiang-ping,et al.Comparison of clinical effect of transurethral resection and bipolar plasma kinetic resection of benign prostatic hyperplasia[J].,2010,(03):222-226.
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经尿道前列腺电切术与双极等离子电切术治疗良性前列腺增生的临床比较()
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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:
2010年03期
页码:
222-226
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparison of clinical effect of transurethral resection and bipolar plasma kinetic resection of benign prostatic hyperplasia
作者:
梅红兵王风常江平张忠林史明叶少波镇万华曾少明吴锋张新涛程建利
深圳市第二人民医院泌尿外科,518035
Author(s):
MEI Hong-bingWANG FengCHANG Jiang-pingZHANG Zong-lingSHI MingYE Shao-boZHENG Wang-huaZENG Shao-mingWU FengZHENG Xing-taoCHEN Jian-li
关键词:
良性前列腺增生经尿道前列腺电切术经尿道等离子前列腺电切术
摘要:
目的 比较经尿道前列腺电切术(TURP)与经尿道前列腺双极等离子电切术(PKRP)治疗良性前列腺增生(BPH)的近期临床疗效、安全性.方法 将146例确诊为BPH患者随机分为2组,每组各73例,分别采用PKRP和TURP,2组病例术前前列腺症状评分(IPSS)、生活质量评分(QOL)、剩余尿量(RUV)、最大尿流率(Qmax)比较差异均无统计学意义(P>0.05),比较术前术后临床的各项指标及两种手术方法的效果. 结果 2组患者手术时间、手术前后血红蛋白变化程度、术前术后血钠浓度差异均有显著性意义(P<0.01);术后3、6个月随访,2组IPSS、QOL、RUV均较术前明显下降,Qmax均较术前明显增加,组间比较差异均无统计学意义(P>0.05).术后膀胱冲洗时间、留置导尿时间差异无统计学意义(P>0.05).TURP组并发症发生率27.3%,PKRP组术后并发症发生率8.2%,并发症发生率差异有统计学意义. 结论 PKRP与TURP比较,治疗BPH近期疗效相似,但PKRP安全性更高,并发症少.

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更新日期/Last Update: 1900-01-01