经尿道等离子前列腺剜除术治疗前列腺增生(附70例报告)  

Plasmakinetic transurethral enucleation of prostate:A report of 70 cases

作　　者：彭荣军[1] 仇让学[1] 廖彩虹[1] 孟庆超[1] 张磊[1] 

机构地区：[1]中国人民解放军第九二医院泌尿外科,南平353000

出　　处：《华中医学杂志》2009年第2期66-67,共2页Central China Medical Journal

摘　　要：目的探讨应用等离子体外系统(PKS)行经尿道等离子前列腺剜除术(PKEP)治疗前列腺增生的临床疗效。方法前列腺增生患者70例,应用Gyrus等离子体外系统及内窥镜系统,以生理盐水作为冲洗液,将增生腺体于外科包膜内剜除,并对患者术前、术后的国际前列腺症状评分、生活质量、残余尿量进行比较。结果70例均顺利经过手术,切除腺体组织重量平均50g,平均手术时间83min,术后平均留置尿管3.5d,平均住院时间6d。国际前列腺症状评分(IPSS)从术前(26.5±3.2)分降至术后1个月的(6.3±3.6)分,残余尿(RUV)从术前(110±52)ml降至(20±14)ml,最大尿流率(Qmax)从术前的平均8ml/s增加至术后20ml/s。手术前后相比较,有显著性差异(P<0.05)。结论PKEP治疗前列腺增生安全、有效、并发症少,值得推广。Objective To evaluate the operative method and efficacy of Plasma Kinetic enucleation of the prostate（PKEP） with PKS in the treatment of benign prostatic hyperplasia（BPH）.Methods Seventy cases were with PKEP in this group.Gyrus Plasma-Kinatic System and endoscope system was used.Normal saline solution were used as the irrigating fluids.The prostatic adenoma was enucleated firstly in the surgicalcapsule.The indexes such as IPSS,QOL,RUV were monitored and analyzed at the preoperative and postoperative.Results All of the patients were operated successfully.The mean weight of the prostate was 50 grams.The mean operative time was 83 minutes.The catheterization time was 3.5 days and the mean postoperative hospital stay was 6 days.IPSS decreased from（26.5±3.2） to（6.3±3.6） at 1 month postoperative,the residual volume of urine dropped from（110±52）ml to（20±14）ml,Qmax increased from 8 ml/s to 20 ml/s.Conclusion The PKEP has an excellent treatment modality for BPH.It can be safe and give the patients with obstructive BPH an effective relief with minimal invasion.

关 键 词：前列腺增生 经尿道等离子前列腺剜除术 治疗 

分 类 号：R699.8[医药卫生—泌尿科学]