经尿道等离子体双极电切术治疗良性前列腺增生的相关性研究

The relative research of transurethral resection of the hyperplastic prostate with bipolar plasmakinetic technique

目的探讨经尿道等离子体双极电切的安全性与有效性.方法用经尿道等离子体双极电切行前列腺切除(PKRP)90例,前列腺20～106 g,平均(46.7±32.8)g;术后随访3～6月.结果 (PKRP)手术时间13～98 min;切除前列腺组织重量17～81 g,平均(35±26)g.无1例需输血,无电切综合征发生.平均插尿管时间2 d(1～4 d),术后3～6个月,最大尿流率(Qmax)由术前的(5.6±3.4)mL/s,分别上升至(19.6±4.2)、(21.8±4.4)、(22.8±5.1)mL/s;国际前列腺评分(IPSS)由术前的23.1下降至5.2、5.1、5.0;生活质量评分(QOL)由术前的5.6下降至1.6、1.7、1.1.3项指标手术前后比较差异均有显著性意义(P<0.05).结论用等离子体双极电切进行PKRP 安全有效.

Objective To assess the efficacy and safety of transurethral resection of the prostate （PKRP） with plasmakinetic energy. Methods 90 patients （mean age of 71.6 years; ranging from 52 to 91） with symptomatic BPH without suspected cancer （confirmed by IPSS, unrtient flow rate, ultrasonographic estimate and PSA tests） were treated by PKRP. All patients were followed up for 3-6 months postoperatively. Results In PKRP, the duration of the procedure was （48±31） minutes （ranging from 13 to 98 minutes）. No case needed blood transfusion during the operation. No transurethral resection syndrome occurred. The mean catheterization time was 2 days （1 to 4 days）. The peak flow rate increased from （5.6 ± 3.4） mL/s to （19.6±4.2）mL/s, （21.8±4.4）mL/s, （22.8±5.1）mL/s at 1, 3 and 6 months respectively. The IPSS decreased from 23.1 to 5.2, 5.1, 5.0 and the QOL decreased from 5.6 to 1.6, 1.7,1.1 at 1, 3 and 6 months respectively. Conclusion It is suggested that transurethral bipolar plasmakinetic resection of the prostate is effective and safe.