经尿道前列腺腔内剜除术的临床分析  

Clinical analysis of transurethral enucleation of prostate

作　　者：许琛[1] 韩耕宇[1] 杨信[1] 谢群[1] 

机构地区：[1]珠海市人民医院泌尿外科,广东珠海519000

出　　处：《现代预防医学》2012年第13期3464-3465,3467,共3页Modern Preventive Medicine

摘　　要：目的评价经尿道等离子体前列腺剜除术治疗良性前列腺增生(BPH)的临床效果。方法经尿道等离子体双极电切镜,行前列腺条状剜除术300例。结果病人300例均获得成功,手术时间30～120min,平均80mind,获得前列腺组织25～120g,平均60g,术后留置导尿管时间1～5d,平均3d,无术中术后输血病例,组织病理学诊断为BPH。术后IPSS症状评分平均减少22分,生活质量评分平均减少6分;最大尿流率(Qmax)平均上升12ml/s,残余尿量平均减少100ml。结论经尿道等离子体前列腺剜除术切除前列腺组织更彻底,出血少,安全性高。留置导尿管时间短,临床症状改善明显。OBJECTIVE To evaluate the clinical effect of the Plasma Kinetic enucleation of the prostate（PKEP）in treatment of benign prostatic hyperplasia（BPH）.METHODS All of 300 cases of BPH were treated by transurethral enucleation of prostate using Plasma Kinetic.RESULTS The operations were all successful in 300 cases.The mean weight of the prostate was 60 grams.The operative time was 80 mins.The catheterization time was 3 days and the mean postoperative hospital stay was 5 days.No blood transfusion was performed in all cases.Histopathological analysis confirmed the diagnosis of BPH in all cases.IPSS mean decreased 22 and the peak urinary flow rate（Qmax）mean went up 12 ml/s and the residual volume of urine dropped to 100 ml.CONCLUSION PKEP is effective in treating BPH.It can completely enucleate the hyperplastic tissue with little bleeding in operation.The treatment has the advantages of short catheter time and significant clinical improvements.

关 键 词：等离子 前列腺 剜除术 

分 类 号：R697.3[医药卫生—泌尿科学]