等离子电切镜经尿道前列腺剜除术与前列腺电切术术中出血量比较

姜韬; 孙长文; 张岩; 李跃东; 张洪泉

等离子电切镜经尿道前列腺剜除术与前列腺电切术术中出血量比较

- 齐齐哈尔医学院第一附属医院泌尿外科(黑龙江齐齐哈尔, 161041)

详细信息

通讯作者: 张岩,E-mail:jt163yx@163.com

中图分类号: R697

收稿日期: 2012-06-13

Comparison of blood loss between plasmakinetic resection of prostate and plasmakinetic enucleation of prostate

- Department of Urology, First Affiliated Hospital of Qiqihar Medical College, Qiqihar, Heilongjiang, 161041, China

More Information

Corresponding author: ZHANG Yan, E-mail: jt163yx@163.com

Received Date: 13 June 2012

摘要

摘要: 目的：比较前列腺增生的手术治疗中等离子电切镜经尿道前列腺剜除术（PKEP）与前列腺电切术（PKRP）两种方法术中的出血量。方法：前列腺增生患者86 例，随机分组，应用Gyrus等离子体电切镜系统，以生理盐水作为冲洗液，PKEP组34例，PKRP组52例，比较术中切除重量，手术时间，总失血量，平均失血量。结果：86 例均顺利经过手术， PKEP组切除碎片组织重量（36.1±15.7）g；术中总出血量（60.3±54.7）ml；每克组织平均出血量（3.2±1.6）ml。PKRP组切除碎片组织重量（30.4±14.3）g；术中总出血量（126.4±87.9）ml；每克组织平均出血量（5.7±1.8）ml。两组手术时间及切除组织重量差异无统计学意义（P>0.05）。总出血量及每克组织平均出血量PKEP组明显少于PKRP组（P<0.01）。结论：PKEP 治疗前列腺增生切除增生组织彻底，出血少，手术效果好，是一种值得推广的腔内手术方法。
- 良性前列腺增生 /
- 经尿道等离子前列腺剜除术 /
- 经尿道等离子前列腺电切术[HT]
Abstract: Objective: To compare blood loss between plasmakinetic resection of prostate(PKRP) and plasmakinetic enucleation of prostate (PKEP). Method: Eighty-six cases of patients with BPH, two grouped was divided by randomly, Gyrus Plasma-Kinatic System was used. Normal Saline solution acted as the irrigating fluids,, while 34 cases of patients under PKEP, 52 cases of patient under PKRP, compare the weight of resected tissue, the time of operation, total blood loss in operation and the blood loss per gram of proatate resected. Result: Eighty-six cases of patients got through operation successfully, in PKEP group, the weight of resected tissue was(36.1±15.7)g; total blood loss in operation was (60.3±54.7)ml;mean blood loss per gram of resected tissue was(3.2±1.6)ml。In PKRP group, the weight of resected tissues was(30.4±14.3)g; total blood loss in operation was(126.4±87.9)ml;mean blood loss per gram of resected tissue was(5.7±1.8)ml。The difference has no statistic significant in weight of resected tissue and the time of operation between PKEP and PKRP group(P>0.05). The total blood loss and the mean blood loss per gram of PKEP was significantly less than that of PKRP(P<0.01). Conclusion: PKEP in treatment of BPH can resected hyperplastic tissue thoroughly, less blood loss, it was worth to spread as a good technique intracavity.
- benign proatatic hyperplasia /
- plasmakinetic enucleation of prostate /
- plasmakinetic resection of prostate

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参考文献(8)

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