【摘要】 目的 探讨经尿道双极等离子体电切术(PKRP)治疗高危良性前列腺增生(BPH)的临床效果和安全性。方法 回顾性分析了82例高危BPH患者采用经尿道双极等离子电切术，并对疗效进行分析。结果 全部82例患者均一次顺利完成手术，手术时间(40±28)min，无TURP综合征及闭孔神经反射发生，出血量(40±30)ml，IPSS评分由术前的(26.7±3.58)分下降为(5.50±7.20)分(P<0.01)，术后无残余尿。结论 双极等离子体电切术疗效好，手术创伤轻，并发症少，可推广应用于高危前列腺增生症患者。

    关键词 前列腺增生 高危 双极等离子体电切

    Department of Urology，Chaozhou Hospital，Guangdong521011.

    【Abstract】 Objective To assess the clinical efficacy and safety of transurethral resection of the prostate(PKRP)with plasmakinetic energy.Methods 82patients with high risk benign prostatic hyperplasia(BPH)and been treated by PKRP were analysed retrospectively.Results The duration of the PKRP procedure was(40±28)min.No transurethral resection(TURP)syndrom and obturatorn reflex occurred.The intraoperative bleeding was deˉcreased(40±30ml).The IPSS decreased from26.7±3.58to5.50±7.20(P<0.01).No residual urine was ocˉcurred after operatio ......