摘要
目的探讨经尿道双极等离子电切术(PKRP)治疗高危良性前列腺增生(BPH)的临床效果和安全性。方法回顾性分析经尿道双极等离子电切术治疗159例高危BPH患者的疗效。结果159例患者均1次顺利完成手术,无经尿道前列腺电切术(TURP)综合征及闭孔神经反射发生,PKRP手术时间平均45(s=23)min,切除前列腺组织质量平均30(s=28)g。出血量平均43(s=32)mL,术后48 h内拔除尿管,排尿均通畅。术后1、3、6、12个月,最大尿流率(Qmax)由术前的平均4.9(s=4.1)mL/s分别上升至17.6(s=4.5)、20.6(s=4.7)、21.3(s=5.5)、22.4(s=5.3)mL/s;国际前列腺症状评分(IPSS)由术前的平均23.7(s=3.28)分别下降至7.1(s=2.21)、6.3(s=2.15)、6.0(s=2.03)、5.6(s=2.00);生活质量评分术后均下降(P均〈0.05)。平均随访8(6-12)个月,尿道狭窄1例,暂时性尿失禁11例。无1例发生真性尿失禁。结论等离子双极电切行经尿道前列腺切除是一种安全、有效的手术方式,其操作方式、切除速度与传统TUR手术相似,而且具有止血效果好、使用生理盐水为冲洗液、无须负极板、手术创伤轻,并发症少等优点,可推广应用于高危前列腺增生症患者。
Objective To assess the clinical efficacy and safety of transurethral resection of the prostate(PKRP) with plasmakinetic technique. Methods A total of 159 patients with high - risk benign prostatic hyperplasia (BPH) and being treated by PKRP were analyzed retrospectively. Results The duration of the PKRP procedure was 45 ( s = 23) rain. No transure'thral resection (TURP) syndrome and abjuratory reflex occurred. The volume of intraoperative bleeding was 43 ( s = 32) mL. Peak urine flow increased from 4.9 ( s = 4.1 ) mL/s to 17.6 ( s = 4.5) mL/s, P 〈 0.05, and IPSS decreased from 23.7 (s =3.28) to 6.3 (s =2.15, P〈0.01, in 3 months postoperatively. No residual urine occurred after the operation. Conclusions PKRP is effective and safe with less complication. It can be extend to cure high-risk hyperplasia of prostate.
出处
《中国校医》
2007年第3期319-321,共3页
Chinese Journal of School Doctor
关键词
前列腺增生
经尿道前列腺切除
Prostatic Hyperplasia
Transurethral Resection of Prostate