经尿道等离子双极电切术治疗良性前列腺增生486例  

Transurethral plasmakinetic resection of the prostate for benign prostatic hyperplasia

作　　者：黄兴[1] 石洪波[1] 张雪军[1] 周吉[1] 陈斌[1] 余志运[1] 

机构地区：[1]襄樊市中心医院泌尿外科,湖北襄樊441021

出　　处：《西部医学》2010年第3期491-493,共3页Medical Journal of West China

摘　　要：目的探讨经尿道等离子双极电切术(PKRP)治疗良性前列腺增生的安全性与临床效果。方法采用英国Gyrus等离子双极电切系统,行经尿道前列腺等离子双极电切术486例。结果486例PKRP手术均获成功,手术时间42～110min,平均68min。切除前列腺组织重量25～105g,平均49g。6例输血,无电切综合症发生。术后随访2～13个月,国际前列腺症状评分术前(28.5±3.4)分降至术后(10.4±2.9)分(P<0.05);生活质量评分术前(4.8±0.9)分降至术后(1.9±0.7)分(P<0.05);最大尿流率术前为(7.2±2.6)ml/s升至术后(19.7±3.2)ml/s(P<0.05)。术后出现暂时性尿失禁9例,继发性前列腺出血3例,尿道狭窄5例。结论经尿道前列腺等离子双极电切术是治疗良性前列腺增生的一种安全、有效的方法。Objective To evaluate the effect and safety of transurethral plasmakinetic resection of the prostate （PKRP） in the treatment of benign prostatic hyperplasia （BPH}. Methods Four hundred and eighty-six BPH patients were underwent transurethral plasmakinetic resection of the prostate with Gyrus plasmakinetic system. Results All of the 486 cases were performed successfully. The preoperative estimated weight of the prostate was from 35g to 125g. The mean operation time was 68min （ranged from 42min to 110min）. The mean resected tissues weighted 49g. Six cases needed transfusion and there was no transurethral resection syndrome （TRUS） occurred. All patients were followed up for 2 to 13 months postoperatively, the international prostate symptom score （IPSS} decreased from 28.5±3.4 to 10.4±2.9 {P〈0.05）, the quality of life （QOL） decreased from 4.8±0.9 to 1.9±0.7 [P〈0.05）, and the maximum flow-rate （Qmax） increased from 7.2 ± 2.6 to 19. 7 ±3.2 ml/s { P（0.05 ）. Temporary incontinence occurred in 9 cases postoperatively, the secondary hemorrhage in 3, and urethral strictures in 5. Conclusion PKRP is safe and effective for BPH.

关 键 词：良性前列腺增生 经尿道前列腺等离子双极电切术 经尿道电切综合症 

分 类 号：R454.1[医药卫生—治疗学]