腔内剜除法在前列腺汽化电切术中的应用

Intraluminal enucleation in transurethral vaporization and electro-resection of the prostate

目的探讨在汽化电切术中应用剜除法治疗前列腺增生的临床治疗效果。方法回顾性分析62例前列腺增生患者在汽化电切术中应用腔内剜除法治疗的临床资料。结果62例患者均顺利完成手术。其中单极汽化电切12例,等离子体双极汽化电切50例。手术时间50～162min,平均76min。术中出血40～200ml,平均110ml。无输血病例。切除前列腺组织62～138g,术后留置导尿管3～5d,住院7～10d,平均8 d,全组病例均治愈出院。随访1～20个月,平均8个月。术后IPSS症状评分平均减少22分,最大尿流率增加至(16.8±3.3)ml/s。未出现尿道狭窄、永久性尿失禁、电切综合征、继发出血、逆行射精和复发等并发症。结论腔内剜除法是内镜治疗前列腺增生的一种全新切割方法,安全、高效,值得临床推广应用。

Objective To investigate the clinical efficacy of intraluminal enucleation in transurethral vaporization and electro-reesection of the prostate. Methods A retrospective analysis was reviewed in 62 case of prostatic hypertrophy,which were treated with intraluminal enucleation in vaporization of prostate. All pacients had a sucessful operation. There were 12 case in unipolar vaporization and 50 in plasmakenitic bipolar vaporization. Results Operation time ranged from 50 to 162 minutes,with an average of 76min. Bleeding ranged from 40 to 200 ml,with an average of ll0ml. There was no blood transfusion. The weight of prostate was 62-138g,the catheter was maintained for 3-5 days postoperatively. The hospital stay was 7-10 days, average 8 days. All patients were cured. There was a fllow-up for 1- 20 months,with an average of 8 months. The IPSS decreased by 22 points on average, and peak urine flow（Qmax） increasd to （ 16.8 ± 3.3 ） ml/s. There wre no urethralstricture, permanent urinary incontinence, TURS,postoperative hemorrhage, retrograde ejaculation and recurrence. Conclusions Intraluminal enucleation in treatment of prostalic hypertroply is a new,safe,and effective method, which should be popularized in clinical practice.