等离子双极汽化电切除术治疗高危前列腺增生症

Bipolar vaporized plasmakinetic resection of prostate for treating BPH of high risk patients

目的探讨经尿道等离子双极汽化电切术治疗高危前列腺增生症(BPH)患者的疗效和安全性。方法采用等离子双极电切术(PKRP)治疗高危BPH64例,同期采用传统尿道电切术(TURP)24例,对两种术式的临床效果及安全性进行评估。结果两组患者术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)均得到显著改善(P<0.01);但PKRP组病人术中出血更少,单位时间内组织切除率更高,无低钠血症及水中毒(TURS)等并发症。结论两种经尿道(TUR)手术都是治疗BPH的有效方法;但PKRP具有止血效果好、安全性高、对机体生理功能影响小,并发症少等优点,对高危BPH患者是一极具优势的TUR手术方法。

Objective To investigate the therapeutic efficacy and safety in transurethral bipolar vaporized plasmakinetic resection of prostate （PKRP） for treating BPH of high risk patients, Methods Bipolar vaporized PKRP was used in the treatment of 64 cases with BPH of high risk patients. At the same time, traditional TURP was used in 24 cases. The two kinds of surgical procadure were evaluated in the clinical effects and safety, The postoperative IPSS, QOL and Qmax were significantly improved in both group patients（P 〈 0.01）. However,the bipolar vaporized PKRP group had less intraoperative bleeding, high rate of resected tissue. No hyponatremia, hyperhydration and TURS were found after opertion. Conclusions The two kinds of surgical procedurs are an effective method for the treatment of BPH. But the Bipolar vaporized PKRP possesses many advantages, such as a good hemostatic effect, less influence on physiological function and few postoperative complications and so on.