经尿道双极等离子前列腺腔内剜除法治疗前列腺增生124例临床疗效分析  

Bipolar transurethral resection of the prostate cavity plasma enucleation of benign prostatic hyperplasia clinical analysis of 124 cases

作　　者：杨柳[1] 

机构地区：[1]四川省内江市第六人民医院泌尿外科,641001

出　　处：《大家健康（学术版）》2011年第12期18-20,共3页

摘　　要：目的观察前列腺增生腔内治疗方法——经尿道双极等离子前列腺腔内剜除法的临床疗效。方法对124例前列腺增生患者行经尿道双极等离子前列腺腔内剜除法,观察手术时间,术中出血量,术后留置导尿管时间,术后并发症,比较手术前后的国际前列腺症状评分(International Prostate Symptom Score,IPSS)、生活质量(quality of life,QOL)评分、残余尿量(residual urine volume,RUV)、最大尿流率(Qmax)的差异。结果手术时间30～90min,平均(40±10)min;术中出血量(80±10)ml;术后留置导尿管时间(4±0.5)d;全部患者随访6～12个月,IPSS由(28.8±2.3)分下降到(8.6±2.6)、QOL由(4.5±0.5)减少至(1.5±0.5);剩余尿量由(130±5)ml下降到(10±4)ml;Qmax由(7.0±2.5)ml/s上升至(18±2.3)ml/s。所有病例随访6～12个月。结论经尿道双极等离子前列腺腔内剜除法切除组织彻底,出血少,并发症少,技术可行,疗效确定。Objective To observe the cavity treatment of benign prostatic hyperplasia-transurethral bipolar plasma enucleation of the prostate cavity of clinical efficacy.Methods 124 cases of benign prostatic hyperplasia transurethral bipolar plasma enucleation of the prostate cavity.Observe the operation time,blood loss,postoperative catheterization time,complications,more postoperative International Prostate Symptom Score(IPSS),quality of life score(QOL),residual urine volume(RUV),maximum urinary flow rate(Qmax) differences.Results The operative time 30-90 min,an average of(40 ± 10) min;blood loss was(80 ± 10) ml;indwelling catheter when asked(4 ± 0.5) d;All patients were followed for 6 to 12 months,IPSS(28.8 ± 2.3) points down from the(8.6 ± 2.6),QOL decreased from the(4.5 ± 0.5) to(1.5 ± 0.5);residual urine volume decreased from the(130 ± 5) ml to(10 ± 4) ml;Qmax by a(7.0 ± 2.5) ml /s up to(18 ± 2.3) ml /s.All patients were followed for 6 to 12 months.Conclusion Plasma transurethral bipolar prostate enucleation cavity surgical removal of tissue completely,less bleeding,fewer complications,technical feasibility,efficacy is good.

关 键 词：双极等离子体 前列腺增生 腔内剜除法 

分 类 号：R699[医药卫生—泌尿科学]