关键词: 经尿道等离子切除术, 经皮膀胱穿刺造瘘 , 尿道狭窄, 前列腺增生

Abstract:

 Objective To explore the effect of percutaneous puncture cystostomy and transure-thral bipolar plasmakinetic prostatectomyintreatingbenign prostatic hyperplasia combining urethral stricture. Methods A retrospective study 438 cases of benign prostatic hyperplasia patients from May 2011 to April 2016 in our hospital was performed, in which 412 cases underwent transurethral bipolar plasmakinetic resection of prostate, 19 cases with urethral stenosis underwent cystostomy and transure-thral prostatic resection treatment（observation group, n=19）, 7 cases with severe urethral stricture were treated by the other approach. Of 412 cases undergoing transurethral bipolar plasmakinetic resection of prostate, 19 cases were selected as control group （n=19）. The effect of two group were recorded. Results The observation group showed longer operation time（110.34+10.46 min）and more blood loss during operation（80.34+6.12 ml）than control group（all P values less than 0.05）. No serious complica-tionoccurred in two group. Conclusion For the patients combining benign prostatic hyperplasia and urethral stricture, percutaneous puncture cystostomy?assistant transurethral bipolar plasmakinetic prosta-tectomy was an effective and safe surgical procedure but the time of operation and the amount of bleeding during operation were increased.

Key words: urethral stenosis, percutaneous puncture cystostomy, transurethral bipolar plasmakinetic prostatectomy , benign prostatic hyperplasia