195例经尿道等离子体前列腺剜除术  

Plasmakinetic transurethral enucleation of prostate:report of 195 cases

作　　者：孙传涛[1] 陈少明[1] 梁尚富[1] 王斌 张力 李旭明 

机构地区：[1]广东省广州市番禺区中医院泌尿外科,511400 [2]重庆市长寿区人民医院泌尿外科,401220

出　　处：《重庆医学》2008年第13期1407-1408,共2页Chongqing medicine

摘　　要：目的探讨经尿道等离子体前列腺剜除术的可行性，以提高前列腺增生手术治疗的近、远期疗效。方法用等离子体切除系统，经尿道将良性增生的前列腺分叶剥离后切除。统计分析195例患者资料。结果手术时间35～160min，平均（70±23）min，切除前列腺组织22～170g，平均（45±15）g，术后1～4个月国际前列腺症状评分（IPSS）下降至4～12分，平均（8．0±3．2）分。最大尿流率12～47mL／s，平均（18．8±5，7）mL／S，最大尿流率时间5～13S，平均（8±2．4）S，残余尿0～20mL，平均（12±6）mL。IPSS最大尿流率、最大尿流率时间、残余尿4项指标手术前后比较，差异有统计学意义（P〈0．01）。结论经尿道前列腺剜除术方法可行，可能会获得类似开放性包膜内前列腺摘出术的治疗效果。Objective To evaluate the operative method and efficacy of plasmakinetic transurethral enucleation of prostate in the treatment of benign prostatic hyperplasia（BPH）. Methods All 195 cases of BPH were treated by plasmakinetic transurethral enucleation of prostate. The indices were statistically analyzed on preoperation and postoperation. Results The operative time was 35- 160（mean 70±23）min; the weight of prostate was 22-170 （mean 45±15）g;in 1-4 months postoperation,IPSS score decreased to 4-12（mean 8.0± 3.2）;Qmax increased to 12-47（18.8±5.7）mL/s;the time of peak urine flow was 5-13 （mean 8.0±2.4）s; the residual urine was 0-22（12±6）mL. The differences had statistical significance（P〈0.01）. Conclusion Plasmakinetic transurethral enucleation of prostate is feasible for treating BPH. It can gain the similar therapeutic effect of open intracapsule prostatectomy.

关 键 词：前列腺增生 经尿道前列腺剜除术 

分 类 号：R699[医药卫生—泌尿科学]