【摘要】 目的  探討經尿道等離子雙極電切術（PKRP）治療前列腺增生的安全性及臨床療效。 方法  2009年2-12月，采用PKRP治療前列腺增生患者76例，記錄手術時間、手術療效及術后并發癥。 結果  患者手術時間35～130 min，平均55 min。術中失血60～150 mL，均未輸血。手術切除前列腺質量18～72 g。無直腸和膀胱穿孔，無電切綜合征（TURS）及閉孔神經反射發生，無一例發生真性尿失禁，無死亡。術后隨訪2～6個月，IPSS評分平均為9分，最大尿流率平均為16.7 mL/s。 結論  PKRP是治療前列腺增生的理想方法之一。
【Abstract】 Objective  To evaluate the efficacy of transurethral plasmakinetic resection of the prostate (PKRP) on benign prostatic hyperplasia. Methods  A total of 76 patients with benign prostatic hyperplasia from February to December 2009 were treated with PKRP. The operative duration, therapeutic effect and postoperative complications were observed and recorded. Results  The operative duration ranged from 35 to 130 minutes (average 55 minutes).The intraoperative blood loss was 60-150 mL, and no one needed transfusion.The prostate gland excised weight was 18-72 g. There were no intestinal and bladder perforation, no transurethral resection syndrome (TURS) or obturator nerve reflex occurs, and no urinary incontinence or death.IPSS score was nine and the maximal average uroflow was 16.7 mL/s during the 2-6 month follow-up. Conclusion  PKRP is one of the ideal methods treating benign prostatic hyperplasia, especially for high-risk patients with benign prostatic hyperplasia.

引用本文： 王文,余忠. 經尿道等離子雙極電切術治療前列腺增生臨床分析. 華西醫學, 2010, 25(10): 1836-1838. doi: 復制