The methods of transurethral bipolar plasmakinetic prostatectomy for benign prostatic hyperplasla with large volume:report of 105 cases
- VernacularTitle:大体积前列腺经尿道双极等离子体切除方法比较(附105例报告)
- Author:
Min WANG
;
Bin SHI
;
Shaoping WANG
;
Daqing WANG
;
Qinghong WANG
;
Qingshan ZANG
;
Yang SUN
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Transurethral resection of prostate;
Nesbit technique;
Prying-up technique
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(26):28-30
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effectiveness and safety of methods of transurethral bipolar plasmakinetie prostatectomy for benign prostatic hyperplasia with large volume.Methods The transurethral bipolar plasmakinetic prostatectomy with Nesbit (Nesbit group,45 cases)and prying-up technique (pryhag-up group,60 cases)were performed in 105 patients of the prostatic volume of more than 60 g.The results could be obtained by comparing operative time,intraoperative and postoperative blood loss and the time of postoperative sustained washing of the bladder between the two groups.Results In Nesbit group,the efficiency of average cutting gland was (0.79±0.17)g/min,the average intraoperative blood loss was (3.87± 1.09)ml/g,the decrease in postoperative Hb within 24 hours was (6.84±3.96)g/L,the average time of postoperative continuous washing of the bladder was 72 hours,8 patients were given by blood transfusion.In prying-up group,the corresponding data were(1.16±0.20) g/min,(1.60±0.64)ml/g,(3.87±2.33 )g/L,36 hours respectively,none of patients was given by blood transfusion.There were statistically significant in two groups(P＜0.05).Conclusions The adoption of prying-up is more favorable compared with Nesbit method in the aspects such as less blood loss,shorter operating time,less lotion,more thorough resection of the gland,higher security.It is conducive to delivering lecture,and it enables the standard operational procedure available.
