经尿道等离子前列腺汽化电切术治疗高龄良性前列腺增生临床观察  

Transurethral plasma kinetic resection of the prostate for the treatment of benign prostatic hyperplasia senior clinical observation

作　　者：姜华 

机构地区：[1]吉林省延吉市妇幼保健所,吉林延吉133000

出　　处：《中国当代医药》2010年第22期43-45,共3页China Modern Medicine

摘　　要：目的:探讨经尿道等离子前列腺汽化电切术(TUPKRP)治疗高龄良性前列腺增生的疗效及安全性。方法:84例高龄良性前列腺增生患者采用TUPKRP治疗,术后3个月检查各项指标并进行统计学分析,评价手术安全性和手术疗效。结果:84例患者均手术顺利,围术期生命征平稳,未发生电切综合征,手术时间为(76.4±34.2)min,冲洗液变清时间平均(25.7±5.9)h。术后膀胱刺激征20例,继发性出血3例,压力性尿失禁7例,急性尿潴留2例,尿道狭窄2例,无膀胱颈部挛缩。术前、术后电解质、血红蛋白无明显变化(P>0.05)。术后3个月复查IPSS平均(5.6±1.8)分,QOL平均(2.7±0.5)分,Qmax平均(18.5±3.4)ml/s,残余尿量为(10.8±3.2)ml,均较术前有显著改善(P<0.01)。结论:经尿道等离子前列腺汽化电切术治疗高龄良性前列腺增生,手术安全,疗效满意。Objective：To discussion the transurethral plasma kinetic resection of the prostate（TUPKRP） in the treatment of benign prostatic hyperplasia in the elderly efficacy and safety.Methods：84 patients who were diagnosised BPH using TUPKRP treatment,after 3 months to check the indicators and statistical analysis,evaluation of surgical safety and efficacy of surgery.Results：84 example patients operation was without exception smooth,expects the life symbol around operation not to by all means synthetical symbol of electricity happened stably,（76.4±34.2） min,irrigation liquid ware changed into operation time cleaning up a time average（25.7±5.9） hours.After 20 cases of bladder irritation,three cases of secondary hemorrhage,7 cases of stress urinary incontinence,two cases of acute urinary retention,urethral stricture in 2 cases and no bladder neck contracture.Preoperative and postoperative electrolyte,no significant changes in hemoglobin（P0.05）.3 months after IPSS average（5.6±1.8） score,QOL average（2.7±0.5） score,Qmax average（18.5±3.4） ml/s,residual urine volume was（10.8±3.2） ml,were pre-operative significant improvement（P0.01）.Conclusion：Transurethral plasma kinetic resection of the prostate（TUPKRP） for the treatment of benign prostatic hyperplasia surgery senior safety,efficacy satisfaction.

关 键 词：良性前列腺增生 前列腺 汽化电切术 

分 类 号：R699.8[医药卫生—泌尿科学]