等离子体汽化术治疗重度前列腺增生症

Plasmakinetic vaporization for treatment of large volume benign prostatic hyperplasia

目的探讨治疗重度前列腺增生症(BPH)的有效方法。方法采用经尿道等离子体前列腺汽化术(PKVP)对46例重度BPH行前列腺汽化切除。结果手术(65±21)min,出血(80±35)mL,无电切综合征(TURS)发生,发生前列腺包膜穿孔1例。2、3d拔除导尿管后皆排尿通畅。术后国际前列腺症状评分、生活质量评分、最大尿流率及剩余尿量比术前有明显改善(P<0.01)。结论PKVP具有并发症少、安全性高、疗效确切等优点,是当前治疗重度BPH的有效方法。

[Objective] To evaluate the effect of plasmakinetic vaporization in treatment of large volume benign prostatic hyperplasia(BPH). [Methods] 46 cases of large volume BPH patients were treated by transurethral plasmakinetic vaporization of prostate(PKVP). [Results] The operative time was (65±21) min, the intraoptrative bleeding was (80±35) mL, no TURS happened and 2 cases of prostate surgical membranes was damaged. All patients had got normal voiding after removal of catheter 2, 3 days postoperatively. The IPSS score, QOL score and RUV were decreased obviously and Qmax was improved postoperatively (P <0.01). [Conclusions] PKVP has the advantage of less complication, high safety and good efficacy. It is an ideal treatment for large volume BPH.