经尿道前列腺等离子电切术治疗高危前列腺增生症  

Transurethral plastmakinetic resection of prostate for treatment in high - risk benign prostatic hyperplastia

作　　者：施东辉[1] 陈勇辉[1] 陈革华[1] 陆其男 何兆飞[1] 

机构地区：[1]苏州吴中人民医院泌尿外科,江苏210000

出　　处：《国际泌尿系统杂志》2011年第5期609-612,共4页International Journal of Urology and Nephrology

摘　　要：目的研究经尿道前列腺等离子电切术治疗高危前列腺增生症患者的安全性、疗效和围手术期的准备工作。方法对23例高龄高危前列腺增生患者经尿道前列腺等离子电切手术。总结此类患者围手术期的准备工作、手术技巧和注意事项以及统计术后最大尿流率（Qmax），国际前列腺症状评分（Inss），生活质量评分（QOL）的改变。结果患者平均手术时间（62±27）min（35—88rain），85％的患者在40～60min内完成手术；切除前列腺组织平均重量36g（21～86g），平均出血量约320ml（230±80ml），2例需输血，无TUR综合征发生，无手术患者死亡。术后共随访12个月。1个月、6个月、12个月，最大尿流率（Qmax）由术前的（5．3±3．2）分别上升至（15．5±4．1）．（19．6±4．1），（21．2±4．8．）mL／s。国际前列腺症状评分（IPSS）由术前的23．6分别下降至16．3；10．8；7．7分。生活质量评分（QOL）由术前的5．5分别下降至1．8；1．6；1．3分。3项指标术前后比较差异均有显著性意义（P〈0．05）。结论经尿道前列腺等离子电切术作为治疗高龄高危前列腺增生患者安全有效的方法。Objectives To investigate the safety, surgical effects and round the surgical operation expects of preparation work of transurethral vaporization of the prostate in old and high risk benign prostatic hyperplastia patients. Methods We performed transurethral vaporization of the pmstat in 23 cases old and risk benign prostatic hyperplastia. We summarized round the surgical operation expects of preparation work, operation skills and regulation. we also compared after operation of Qmax, the Intemation Prostate symptom scores （IPSS）, quallity of life chang（QOL）. Results Surgery time is 35 - 88min , the mean time is 62 min. 85% sufferers complete surgical operation in the 40 -60 mins. The mean weight of the gland resected is 36g（21 -86g） ,The mean volume of blood loss is 320ml（230±80ml ）, 2 sufferers transfuse blood. No transurethral resection syndrome（TURS） was occurred. No case had died during the hospital stay. The follow -up time is 12 months. First month,the sixth months,the 12th manth. The Qmax from before the operation （ 5.3 ± 3. 2 ） ml/s, rises to respectively （ 15.5 ±4.1 ） ml/s. （ 19. 6 ± 4. 1 ） ml/s, （21. 2 ± 4.8. ） mL/s. The IPSS from before the operation 23.6, drop to respectively 16.3 ; 10.8 ;7.7. The QOL from before the operation 5.5, drop to respectively 1.8 ; 1.6 ; 1.3. There is statistic significance between them（ p 〈0.05 ）. Conclusions Transurethral vaporization of the prostate in old and high risk benign prostatic hyperplasia patients is safe and efficacious.

关 键 词：前列腺增生 电外科手术 

分 类 号：R699[医药卫生—泌尿科学]