经尿道双极等离子体前列腺剜除术治疗高危重度前列腺增生症  

THE STUDY OF TRANSURETHRAL PLASMAKINETIC ENUCLEATION IN THE TREATMENT OF HIGH RISK SEVERE HYPERPLASIA OF BENIGN PROSTATE

作　　者：吴荣海[1] 程州平[1] 庞健[1] 黄黎明[1] 林绮平[1] 曹嘉正[1] 袁丹[1] 林伟光[1] 黄昌平[1] 

机构地区：[1]广东省江门市中心医院泌尿外科,529000

出　　处：《中国煤炭工业医学杂志》2014年第8期1321-1323,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨经尿道双极等离子体前列腺剜除术治疗高危重度前列腺增生症患者的安全性和疗效。方法2007年6月-2011年6月，该院经尿道双极等离子体前列腺剜除术治疗高危重度前列腺增生症96例，平均年龄76岁；不同程度排尿困难症状病史3个月～20年。所有统计均采用SPSS13．0，治疗前后结果对比采用t检验。结果本组96例均获得成功，前列腺重量53-200g，平均65g，平均手术时间90min，术后随访3～12个月。观察术前、术后最大尿流率、前列腺症状评分和残余尿量的变化。平均最大尿流率由术前的5．1ml／s上升至术后3个月的30．0ml／s，平均前列腺症状评分术前为33分，术后3个月降至7．5分，平均残余尿量从135ml降至45．4ml。结论经尿道等离子体前列腺剜除术治疗高危重度前列腺增生症患者手术安全性高、术后效果好。Objective To investigate the safety and therapeutic effect of transurethral plasmakinetic enucleation of prostate in the treatment of high risk severe hyperplasia of benign prostate. Methods Since June 2007 to June 2011, 96 cases of high risk severe hyperplasia of benign prostate were treated by transurethral plasmakinetic enucleation of prostate. The average age was 76 years old. All these cases had the history of different degree of dysuria for 3 months to 20 years. Results All 96 cases in this group had successful operations. The weight of prostate ranged from 53g to 200g, the average weight was 65g, the average operation time was 90 min. The patients were followed up for 3 months to 12 months. The preoperative and postoperative maximum uroflow rate, IPSS, and residual urine volume were measured. 3 months after the operation, the average maximum uroflow rate increased from 5. 1ml/s to 30.0ml/s, the average IPSS decreased from 33 point to 7. 5 point, and the residual urine volume decreased from 135 ml to 45.4 ml. Conclusion Transurethral plasmakinetic enucleation of prostate is safe and effective in the treatment of high risk severe hyperplasia of benign prostate.

关 键 词：等离子体 前列腺增生症 经尿道前列腺剜除术 高危 老年人 

分 类 号：R697.3[医药卫生—泌尿科学]