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目的:探讨经尿道等离子双极电切术(PKRP)治疗前列腺增生症(BPH)的方法和临床疗效。方法:回顾性分析2010年9月~2013年5月行PKRP治疗BPH患者53例的临床资料,对其手术方法和临床疗效进行分析。结果:所有患者均顺利完成,无输血、直肠损伤病例;术后4例轻度尿失禁,1周~1个月后完全恢复。随访1~6个月,IPSS、QOL、Qmax、剩余尿量与术前相比均有明显改善。结论:PKRP治疗BPH具有安全性高、并发症少、疗效确切等特点,值得推广应用。
Objective: To investigate the method and clinical efficacy of transurethral plasma bipolar nephrectomy (PKRP) in the treatment of benign prostatic hyperplasia (BPH). Methods: The clinical data of 53 patients with PKH treated with PKRP from September 2010 to May 2013 were retrospectively analyzed. The surgical methods and clinical efficacy were analyzed. Results: All patients were successfully completed without transfusion and rectal injury cases. Four cases of mild urinary incontinence recovered completely after 1 week to 1 month after operation. Followed up for 1 to 6 months, IPSS, QOL, Qmax, residual urine volume were significantly improved compared with preoperative. Conclusion: The treatment of BPH with PKRP has the characteristics of high safety, fewer complications and definite curative effect, which is worth popularizing and applying.