汽化切割电极用于高危BPH的治疗

Electrovaporition in The Treatment of the High-risk Hyperplastic of Prostate

目的 :探索一种新的TVP方法 ,用于治疗高龄及危重的前列腺增生患者。方法 :采用汽化切割电极 ,在梗阻最严重的部位予在大块长条汽化切割 ,足够通畅后镜鞘退至精阜处 ,以电切襻作前列腺尖端切除 ,以观察到膀胱三角区黏膜为度。结果 :本组共 31例 ,术后随访 12月 ,平均最大尿流率 15 7± 2 80ml s ,I-PSS17 7± 4 0 ,残余尿 39± 1 80ml。 1例术后有血尿 ,经保守治疗后好转。结论 :对于高危前列腺增生症 ,汽化切割优于单纯经尿道电汽化切割 (TVP)和电切综合征 (TURP) 。

Objective:To assess a new technique of transurethral electrovaporition for elderly and critical patients with hyperplastic of prostate.Methods:Using the Vapor Tome,the most obstructive portion was respected ,then the sheeth back to the level of the seminal vesicle resected the bladder's triangle region.Results:31 cases was followeld up for 12 months.The average Q max was 15.7±2.80ml/s,IPPS 17.7±4.0.The remaining urine volume was 39±18.0ml/s.Only one hematuria was improved by conservative treatment.Conclusion:Electrovaporition is a safe and effective therapy for elderly and critical patients with hyperplastic of prostate,superior to single TVP and TURP.