经尿道等离子体双极电切术治疗前列腺增生症的疗效观察

Effects of transurethral prostatectomy using bipolar plasma kinetic technology

目的探讨经尿道等离子体双极电切术治疗前列腺增生症的临床疗效。方法回顾性分析60例该手术方法术后的临床资料,总结治疗体会。结果手术平均(49±29)min,切除前列腺组织平均(52.2±37.3)g,导尿管留置平均(3.5±0.7)d。无输血病例,未见电切综合征及其他严重并发症的发生。其中45例术后3个月复诊,最大尿流率(Qmax)由术前的(5.0±3.7)ml/s上升至(21.5±4.6)ml/s;国际前列腺症状评分(IPSS)由术前的24.2下降至5.4;生活质量评分(QOL)由术前的5.4下降至1.7。三项指标手术前后比较有显著性差异(P<0.05)。结论经尿道等离子体双极电切术治疗前列腺增生症安全、有效。

Objective: To evaluate the clinical of transurethral prostatectomy using bipolar plasma kinetic technology. Methods: The clinical data of 60 patients with BPH underwent plasma kinetic resection of the prostate (PKRP) were analyzed retrospectively. Results: For PKRP, the duration of the procedure was (49±29)min, the weight of the resected prostatic tissue was (52.2±37.3) grams and the catheterzation time was (3.5±0.7) days. No case need blood transfusion during the operation and no transurethral resection syndrom and other serious complications were occurred. Conclusions: It can be implied that PKRP is an effective and safe alternative to the treatment of BPH.