【摘要】 目的探讨高龄高危前列腺增生症(BPH)患者的腔镜术治疗的疗效和安全性。方法采用等离子双极电切术(PKRP)治疗高危BPH356例,同期采用传统经尿道电切术(TURP)124例,对两种术式的临床效果及安全性进行评估。结果两组患者术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)均得到显著改善(P<0.01);但PKRP组病人术中出血更少,单位时间内组织切除率更高,无低钠血症及水中毒(TURS)等并发症。结论两种经尿道(TUR)手术都是治疗BPH的有效方法;但PKRP具有止血效果好、安全性高、对机体生理功能影响小,并发症少等优点,对高危BPH患者是一极具优势的TUR手术方法。更多还原

【Abstract】 objective To evaluate the safety and clinical efficacy of transurethral resection(TUR) of prostate for BPH in high risk patientsM.ethods To review and compare the safety and valityo f 480 cases BPH in high risk patients,Of which 124 cases were treatedb y conventional transurethral resection of prostate(TURP),and 356 cases underwent transurethral plasmakinetic resection of prostate(PKRP). Results The postoperative IPSS、QOL and the urinary flow rate were significantly improved in both groups抪atients. Compared with TURP,PKRP does have less intraoperative bleeding and high rare of resection tissue. No occruuence of hyponatremia and TUR syndromeC.onclusions The two methods are effective for treatment of BPH.PKRP appears to have the advantage of more safety and easier blood contral,less physical damage and complication, being an superior efficient TUR operation for BPH in high risk patient.更多还原