| objective:A comparative analysis of the transurethral plasma electrotomy (PKRP) thetreatment of prostate hyperplasia volume (less than80ml) and hyperplasia of prostatevolume (80-120ml) of benign prostatic hyperplasia (BPH) postoperative effect andsafety. Through the preoperative and postoperative related clinical data analysis,evaluation of transurethral plasma electrotomy treatment volume larger patients withbenign prostate hyperplasia of the curative effect and the safety of the operation forthe uropoiesis surgical department minimally invasive techniques for the treatment oflarge volume in patients with benign prostate hyperplasia choose the best operationway and the best treatment planMaterials and methods1. cases sources: in strict accordance with the inclusion criteria selectionDepartment of Urology China-Japan Union Hospital of JILin University March2010-2012between march transurethral plasmakentic vaporization of plasmaelectrotomy treatment in180cases of BPH, according to the prostate volume isdivided into A (80ml-120ml) group and B (less than80ml) group,. Prostate volumemeasurement used by the rectum prostate colour to exceed measure and calculate theprostate volume size, the unit is ml (ml) each group90examples, the average werefollowed up for6a12months;2.Selection criteria: eliminate preoperative merger bladder calculi and bladdertumor patients; Eliminate preoperative merger prostate gland malignant tumor patient;Eliminate preoperative row urine flow mechanics check with dysfunction of bladderdiseases, such as patients with neurogenic bladder; Excluded patients with urethralstricture. 3.curative effect evaluation:Collect two groups of cases patients with preoperative basic material:1、age andprostate volume;2、IPSS points;3、IPSS1points;4、IPSS2points.Collect two groups of cases intraoperative and postoperative each index:1、operation time.2、resection of prostate quality.3、intraoperative blood loss,4、thepatients with bladder irrigating time.5、postoperative indwelling catheter time.6、postoperative hospitalization days.Collect follow-up IPSS points, IPSS1points, IPSS2score4.statistics analysis: and with the adoption of SPSS11.5software for processing,accord with normal distribution measurement data to mean±standard deviation formsaid, do not accord with normal distribution measurement data to median said.Results:A (80ml-120ml) group international prostate symptom score (IPSS)、stimulating symptom score (IPSS1)、obstruction symptom score (IPSS2) respectivelyby preoperative (19.65±6.764)、(8.43±3.053)、(11.22±4.484) fell to postoperative(7.26±4.376)、(4.67±3.401)、(2.59±2.302)(P<0.01).B (less than80ml) group international prostate symptom score (IPSS)、stimulating symptom score (IPSS1)、obstruction symptom score (IPSS2) respectivelyby preoperative (20.04±6.474)、(9.00±3.215)、(11.04±4.536) fell to postoperative(6.07±3.812)、(4.59±3.182)、(2.48±2.301)(P <0.01);3indexes preoperative and postoperative numerical were compared between thetwo groups, the differences were no statistical significance (p>0.05).A (80ml-120ml) group average operation time90.32±10.46min, averageresection of prostate quality70.87±14.18g;B (less than80ml) group were50.35±11.36min, the average resection ofprostate quality50.56±11.45g、differences exist statistical significance (p<0.01)Two groups during the operation, the amount of bleeding, postoperative bladderirrigation time, urinary catheter time, postoperative hospitalization days differenceswere no statistical significance (p>0.05); A (80ml-120ml) group of intraoperative and postoperative blood transfusion in3, group B postoperative blood transfusion1cases). Two groups were no transurethral electrical cutting syndrome (TURS) occur.Conclusion:The flushing fluid for is otonic saline transurethral plasma electrotomy (PKRP)operation for large volume (80ml-120ml) in patients with benign prostatehyperplasia safe, effective. And the operation effect and safety and treatment <80mlof BPH basic same. |
PDF Full Text Request