经尿道前列腺双极等离子切除术治疗高危良性前列腺增生症的疗效观察  

Transurethral Prostatectomy with the Bipolar Plasmakinetic Technique for Benign Prostate Hyperplasia

作　　者：任晓敏[1] 王忠[1] 姚海军[1] 蒋跃庆[1] 董国勤[1] 蔡志康[1] 徐明曦[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院泌尿外科,上海市200011

出　　处：《中国全科医学》2010年第24期2727-2729,共3页Chinese General Practice

基　　金：上海市市级医院慢性病综合防治项目(SHDC12007313);上海市科委环境条件计划项目(08140901700)

摘　　要：目的探讨经尿道前列腺双极等离子切除术（PKRP）治疗高危良性前列腺增生症（BPH）的临床效果和手术安全性。方法采用PKRP治疗38例高危BPH患者,并对疗效进行分析。结果手术时间40~120 min,平均60 min。切除前列腺组织15~80 g,平均47 g,术中未发生前列腺电切综合征,术后留置导尿管2~7 d,拔除导尿管后所有患者排尿症状均明显改善,4例患者出现暂时性轻度尿失禁。术后随访3~6个月,前列腺症状国际评分（IP-SS）由术前的（25.4±6.6）分降至（8.6±4.2）分,最大尿流率（Qmax）由术前的（7.6±1.1）ml/s上升至术后（18.6±3.0）ml/s,差异均有统计学意义（t值分别为13.24和21.22,P〈0.05）。结论 PKRP是一种值得推广的,能治疗高危BPH患者的方法,具有安全度大、疗效好等优点。Objective To evaluate the effect and safety of transurethral prostatectomy with the bipolar plasmakinetic technique（PKRP） in the treatment of patients with benign prostate hyperplasia（BPH） in high risk.Methods Thirty eight BPH patients in high risk underwent transurethral prostatectomy with the bipolar plasmakinetic technique.Results The operation lasted 40～120 min,averaging 60 min.The resected tissues weighed 15～80 g,averaging 47g.During the operation no transurethral resection（TUR） syndrome occurred.The catheter was indwelled for 2～7 days after the operation,all patients had a remarkble improvement in urination after removal of the catheter,and however there were 4 patients who had a transient incontinence of urine.The patients were followed up for 3～6 months.The score of international prostate symptom score（IPSS） decreased from（25.4±6.6） preoperatively to（8.6±4.2） postoperatively.and the maximum flow-rate（Qmax） increased from（7.6±1.1） ml/s preoperatively to（18.6±3.0） ml/s postoperatively（t=13.24,21.22,P0.05）.Conclusion Transurethral prostatectomy with the bipolar plasmakinetic technique is a safe and effective means for the treatment of patients with BPH in high risk,it is worth popularizing.

关 键 词：前列腺增生 双极等离子电切 经尿道前列腺切除术 

分 类 号：R697.32[医药卫生—泌尿科学]