撬剥前列腺尖部加等离子电切治疗良性前列腺增生120例  

Bipolar plasmakinetic enucleation and resection of prostate for 120 benign prostatic hyperplasia patients

作　　者：毛长青[1] 陈潜[1] 刘彦军[1] 王定占[1] 高江涛[1] 

机构地区：[1]郑州市第一人民医院泌尿外科,450004

出　　处：《中国医师进修杂志》2011年第2期24-26,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 评价撬剥前列腺尖部加等离子电切的方法在经尿道前列腺电切术中的应用价值.方法 回顾性分析经尿道撬剥前列腺尖部加等离子电切术治疗良性前列腺增生120例患者的临床资料.结果 120例患者手术均一期完成.术后随访3～6个月,无尿道狭窄、膀胱颈挛缩、再次出血及永久性尿失禁等并发症发生.术后3个月国际前列腺症状评分（IPSS）为（4.6±3.9）分,最大尿流率为（16.3±2.2）ml/s,与术前的（23.8±5.2）分、（6.1±2.5）ml/s比较差异均有统计学意义（P〈0.01）.结论 撬剥前列腺尖部加等离子电切的方法可较彻底切除前列腺,且易于掌握,适合于初学者应用,值得推广.Objective To evaluate the surgical effects and methods of bipolar plasmakinetic enucleation and resection of prostate for benign prostatic hyperplasia （BPH）. Methods A total of 120 patients with BPH were performed bipolar plasmakinetic resection of prostate and bipolar plasmakinetic enucleation of prostate for BPH. The blood loss,operative time,catheterization time,hospital stay and complications were monitored and analyzed. Results All of the patients were operated successfully. All the cases were followed up for 3-6 months. No urethral stricture, bladder neck contracture, rebleeding, permanent urinary incontinence occurred. The maximum flow rate increased from （6.1 ± 2.5） ml/s peroperative to （16.3 ± 2.2） ml/s at 3 months postoperative,and international prostate symptoms score （IPSS） decreased from （23.8 ± 5.2） scores peroperative to （4.6 ± 3.9） scores （P 〈 0.01）. Conclusion Bipolar plasmakinetic enucleation and resection of prostate for BPH has many advantages such as thorough excision of the prostate,less blood loss in operation,less operation time and complications, higher security and quicker recovery, so it deserves clinical application.

关 键 词：前列腺增生 经尿道前列腺切除术 等离子 

分 类 号：R699.8[医药卫生—泌尿科学]