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目的:探讨经尿道等离子前列腺电切术(PKRP)治疗BPH的方法和疗效。方法:在PKRP中根据前列腺大小及其与包膜粘连情况等分别采用单纯顺行电切法、分割顺行电切法、分割逆行切除法、完全逆行切除法治疗BPH患者1 900例,并比较其疗效。结果:1 900例手术顺利,术中无电切综合征、直肠穿孔、膀胱穿孔发生;术后发生短期尿失禁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个月随访,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:采用PKRP治疗BPH安全有效,根据腺体大小及其与包膜粘连情况等采用不同方法进行电切,可拓宽前列腺电切适应证,降低并发症。
Objective: To investigate the method and efficacy of transurethral resection of prostate (PKRP) for BPH. Methods: In PKRP, 1 900 BPH patients were treated according to the size of the prostate and the adhesions of the enamel, respectively, by simple cisplatin, segmented cisplatin, segmented retrograde resection and total retrograde excision Its efficacy. Results: A total of 1 900 cases were successfully surgically removed. There was no operative syndrome, rectum perforation and bladder perforation. There were 83 cases of short-term urinary incontinence, 1 case of secondary bleeding, 54 cases of urethral stricture, 4 cases of bladder neck contracture, Recurrence in 3 cases, 1 case died during hospitalization. Six months after operation, the scores of International Prostate Symptoms, Quality of Life, and Maximum Urinary Flow Rate were significantly improved compared with that before operation (P <0.01). Conclusion: The treatment of BPH with PKRP is safe and effective. According to the size of the gland and its relationship with the adhesions of the capsule, different methods of resection can be used to broaden the indication of prostate resection and reduce the complications.