【摘要】 目的 探討采用不同方法經尿道前列腺等離子雙極電切術（plasmakinetic resection of prostate，PKRP）的方法及療效。 方法 2008年7月-2009年12月，應用不同方法行PKRP治療156例前列腺增生。患者年齡59~87歲，平均74歲。病程20 d~18年。前列腺重量22~100 g，平均38 g。采用單純順行電切法治療38例，部分剜除分割切除法治療76例，完全剜除法治療42例。 結果 156例手術均獲成功，手術時間平均90 min。獲得前列腺組織12~87 g，平均35 g。術后留置導尿管平均5.5 d，住院時間平均6.5 d。術后組織病理學診斷為良性前列腺增生152例，前列腺癌4例。拔除尿管后均能自主排尿，部分患者術后有尿道刺激癥狀；術后1個月內出現尿道外口狹窄3例，經尿道擴張治愈。隨訪時間1~12個月，平均6個月。短期尿失禁3例，時間分別為1周、1個月及3個月；無長期尿失禁。術后3個月國際前列腺癥狀評分（IPSS）癥狀評分平均減少24分，生活質量評分平均減少3分。 結論 PKRP安全、有效、并發癥少，可針對患者情況采用不同切割方法，效果更佳。【Abstract】 Objective To explore the effects and methods of transurethral plasmakinetic resection of prostate(PKRP). Methods A total of 156 patients with prostatic hyperplasia were treated with various methods of transurethral PKRP from July 2008 to December 2009. Patient’s age ranged from 59 to 87 years,74 years on average. The disease duration was 20 days to 18 years.Method one:anterograde resection in 38 patients; method two:partition retrograde enucleation in 76 patients; method three:completely retrograde enucleation in 42 patients. Results All of the swgeries were successful. The mean duration of the operation was 90 minutes.The collected prostatic specimens were 12-87 g,35 g on average. The mean catheter remaining dwation was 5.5 days.The mean postoperative hospital stay was 6.5 days. Conclusions PKRP is safe and effective. It is effective with various methods of transurethral plasmakinetic resection of prostate.
【摘要】 目的 探討良性前列腺增生癥（benign prostatic hyperplasia，BPH）應用經尿道前列腺普通電切鏡剜除術（transurethral electro enucleation of the prostate，TUEP）的方法及療效。 方法 2007年12月－2010年7月，應用TUEP治療BPH患者201例，并根據前列腺腺體的大小及形狀的不同采用不同的剜除方法以提高手術的成功率。 結果 全部患者均順利完成手術，切除前列腺重量平均38 g，平均手術時間100 min，術后平均留置導尿管時間5~7 d，術后平均住院時間5.5 d。 結論 TUEP是治療良性前列腺增生癥的一種有效方法。【Abstract】 Objective To evaluate the therapeutic effect of transurethral enucleation of prostate on benign prostatic hyperplasisa. Methods From December 2007 to July 2010, 201 patients with benign prostatic hyperplasia underwent transurethral enucleation. According to the size and shape of the gland, different enucleation ways were used to improve the surgical success rate. Results All of the enucleations were successful. The average weight of the resected prostate was 38 grams, the mean operation duration was 100 minutes, the average days of indwelling catheter was 5-7 days, and the average hospital staying was 5.5 days. Conclusion Transurethral enucleation of prostate for benign prostatic hyperplasia is effective.
