两种电切术治疗高危良性前列腺增生的疗效及安全性评价  

作　　者：段启林[1] 李伟东[1] 赵磊[1] 黄树声[1] 甘露[1] 黄桂晓[1] 曾静[1] 

机构地区：[1]广东省深圳市罗湖医院泌尿外科,广东深圳518001

出　　处：《中外医疗》2009年第14期15-16,共2页China & Foreign Medical Treatment

摘　　要：目的评价经尿道前列腺汽化电切术(TUVP)和等离子双极电切术(TUPKP)治疗高危良性前列腺增生(BPH)的临床疗效及安全性。方法对180例高危BPH患者行TUVP88例(A组)和TUPKP92例(B组),并评估其疗效及安全性。结果180例患者均顺利通过手术,A组术中以5%葡萄糖为冲洗液者有4例出现TURS,其余术中未出现严重并发症,术后平均随访12个月,排尿通畅,最大尿流率Qmax由术前的(7.8±1.5)mL/s上升至术后(19.3±3.1)mL/s,国际前列腺症状评分(I-PSS)由术前的22～35分降低至术后5～8分,生活质量评分(QOL)由术前的4～6分降低至术后的0～3分,无严重并发症发生。结论TUVP和TUPKP治疗高危BPH安全性好、疗效佳、并发症少,等离子双极电切更安全、手术时间更充分、腺体切除更彻底,并发症更少。ObjectiveTo assess the clinical efficacy and safety on the treatment of high-risk benign prostate hyperplasia（BPH）by TUVP and plasma resection （TUPKP）.Methods 180 cases of high-risk BPH including 88 cases（A group）by TUVP and 92 cases（B group） by TUPKP were operated.ResultsExcept 4 patients（A group）occurring TURS,176 lmtients who were all operated successfully and received the follow-up time 12months micturated smoothly.The Qmax raised from pre-operation（7.8 ± 1.5）m L/s to post-operation （19.3 ±3.1）mL/s,while the international prostate symptom seore（I-PSS） reduced from pre-operation 22-35 points to pest-operation 5-8 points and the quality of life（QOL）went down from pre-operation 4-6 points to post-operation 0-3 points. No serious complications occurred.Conclusion TUPKP is more better than TUVP in treating high--risk BPH with security,excellent efficacy and fewer complications.

关 键 词：良性前列腺增生(BPH) 高危 经尿道前列腺汽化或等离子双极电切术 

分 类 号：R697[医药卫生—泌尿科学]