摘要
目的探讨术中控压冲洗对经尿道前列腺等离子双极电切术(PKRP)的影响。方法将240例前列腺增生(BPH)患者随机分为2组,术中经膀胱造瘘管做控压冲洗105例(控压组),术中高压冲洗135例(高压组)。对2组膀胱内压力变化、手术时间、切除的平均前列腺重量、术中失血量、术后冲洗时间、术后拔管时间和手术前后的最大尿流率(Qmax)、国际前列腺症状评分(IPSS)以及术后主要并发症指标进行对比观察。结果控压组在膀胱内压力变化、手术时间、术中失血量和术后1周的IPSS评分、Qmax方面明显优于高压组(P<0.05),且主要并发症少。结论控压冲洗下行PKRP术,具有保持术中视野清晰、利于手术连续操作、节约手术时间、减少主要并发症等优点,且操作简单,易于推广使用。
Objective To study on intraoperative the control bladder-pressure irrigation transurethral dipolar plasma resection of the prostate（PKRP）effect. Methods Retrospective analysis of 240 cases of BPH patients,105 cases of controlled bladder-pressure irrigation fistula in （control pressure group）,135 cases of Intraoperative high pressure irrigation （high pressure group）,observation compared the two groups of changes within the bladder-pressure,peration time,excisional prostate weight,blood loss, postoperative time of irrigation and extubate after operation;compared the two groups of IPSS and Qmax before and after operation, compared the two groups of and post-operation major complications. Results Control pressure group within the bladder pressure change, operating time, blood loss during surgery and post-operative 1 week IPSS,Qmax significantly better than the general group （P〈0.05）,and fewer major complications. Conclusion Control bladder-pressure irrigation of PKRP,keep the vision clear,conducive to the operation in continuous operation,save time,reduce the major complications of surgery and so on, and the operation is simple,easy to use.
出处
《基层医学论坛》
2014年第4期416-418,共3页
The Medical Forum
关键词
经尿道等离子前列腺电切术
控压冲洗
影响
并发症
Transurethral dipolar plasma resection of the prostate
Controlled pressure irrigation
Influence
Complication
