经尿道等离子双极电切治疗高危良性前列腺增生256例分析  

Clinical analysis of 256 cases of high-risk benign prostate hyperplasia treated by transurethral prostatectomy with the bipolar plasmakinetic technique

作　　者：车翔宇[1] 吴东军[1] 王法鹏[1] 王启飞[1] 王建伯[1] 宋希双[1] 

机构地区：[1]大连医科大学附属第一医院泌尿外科,辽宁大连116011

出　　处：《中国医药导报》2009年第12期45-46,49,共3页China Medical Herald

摘　　要：目的:探讨经尿道等离子双极电切治疗高危良性前列腺增生的安全性与有效性。方法:应用经尿道等离子双极电切治疗高危良性前列腺增生256例,平均年龄72.1岁,平均前列腺质量55g;术后随访1～52个月。术前、术后行尿流率、残余尿量测定、国际前列腺症状评分(IPSS)及生活质量评分(QOL)并予以比较。结果:本组病例256例,手术时间30～120min,平均45min。切割前列腺组织15～96g,平均46g。无电切综合征发生,术中及术后因心脏疾病死亡各1例,因心肺疾病术后入ICU3例。术后最大尿流率(Qmax)由术前的4.1ml/s上升至19.1ml/s;IPSS由术前的28.2分下降至6.8分;QOL评分由术前的5.4分下降至2.1分,3项指标手术前后比较均有显著性差别(P<0.01)。残余尿量从术前的97ml下降至术后的7ml。结论:经尿道等离子束切割前列腺治疗良性前列腺增生是一种安全、有效的手术方式。Objective：To evaluate the effect and safety of transurethral prostatectomy with the bipolar plasmakinetic technique（PKRP） in the treatment of high-risk benign prostate hyperplasia（BPH）.Methods：256 cases of BPH patients underwent PKRP.The average age was 72.1 years old, the average weight of prostate was 55 g.The follow-up time was from 1 to 52 months after operation.The indexes such as Qmax,residual urine,IPSS and QOL were detected preoperatively and postoperatively.Results：The operation lasted from 30 to 120 min, average 45 min;the resected tissues weighed from 15 to 96 g, average 46 g.During the operation, no transurethral resection（TUR） syndrome occurred.One case died during the operation and one died postoperatively due to cardiac disease.3 cases were treated in ICU due to heart or lung disease.IPSS decreased from preoperative 28.2 to postoperative 5.8（P〈0.01）.Qmax decreased from preoperative 4.1 ml/s to postoperative 19.1 ml/s（P〈0.01）.Residual decreased from preoperative 97 ml to postoperative 9 ml.Conclusion：PKRP is a kind of safe and effective means for the treatment of high-risk BPH.

关 键 词：高危前列腺增生 等离子束 经尿道电切 

分 类 号：R697.32[医药卫生—泌尿科学]