经尿道等离子体双极电切治疗高龄高危前列腺增生症(附150例报告)  

Treatment of transurethal plasmakentic resection of prostate for senior and high risk BPH patients(a report of 150 cases)

作　　者：李大文[1] 李恩春[1] 杨文涛[1] 卢尚光[1] 李异军[1] 董瑜[1] 周杰彬[1] 吴刚[1] 韦均元[1] 

机构地区：[1]广西中医学院瑞康医院泌尿外科,广西南宁530011

出　　处：《中国内镜杂志》2007年第11期1136-1138,1141,共4页China Journal of Endoscopy

基　　金：广西科技公关计划(桂科攻0472002-16)

摘　　要：目的探讨经尿道等离子体双极电切治疗高龄良性前列腺增生的安全性与有效性。方法采用英国Gyrus等离子双极切割系统(gyrus-plasma kinetic system,PKS)行经尿道前列腺切除术150例。结果150例手术顺利,手术操作时间平均47min,平均切除前列腺63g,无输血病例,术中无闭孔神经反射及电切综合征(TURS)出现。术后IPSS由(28.5±4.8)分降至(10.5±3.2)分;最大尿流率(Qmax)由(5.8±2.2)mL/s上升至(23.8±3.3)mL/s;生活质量评分(QOL)由术前的(6.5±1.2)下降至(1.0±0.8);剩余尿(RU)由(120.3±40.3)mL降至(15.6±8.3)mL,4项指标手术前后比较差异均有显著性(P<0.05)。结论经尿道前列腺等离子双极汽化电切术是一种安全有效的微创术式,尤其适合于高龄高危重度前列腺增生患者。[Objective] To study the efficacy and safety of transurethral plasmakinetic resection of prostate （PKRP） in senior and high risk samptomatic benign prostate hyperplasia. [Methods] 150 patients with benign prostate hyperplasia （BPH） were treated by PKRP using gyrus-plasma kinetic system （PKS）. [Results] All the 150 patients underwent the operation successfully. Mean operation time was 47min. Mean resected prostatic tissue was 63 g, no case needed blood transfusion during the operation, and no aductor reflex and transurethral resection syn-drome （TURS） occurred. The maximun flow rate （MFR） was elevated from （5.8±2.2） mL/s to （23.8±3.3） mL/s （P 〈 0.05）, IPSS, RU and QOL being dropped from （28.5±4.8） to （10.5±3.2）, from （120.3±40.3） mL to （15.6±8.3） mL （P 〈 0.05） and from （6.5±1.2） to （1.0±0.8） （P 〈0.05） respectively. [Conclusion] Transurethral plasmakinetic resection prostatectomy is a safe and effective microinvasive surgical method, especially for the aged patients in high risk and with large volume benign prostate hyperplasia.

关 键 词：良性前列腺增生症 Gyms等离子体双极切割系统 经尿道双极等离子汽化电切术 

分 类 号：R697.32[医药卫生—泌尿科学]