经尿道等离子体双极电切剜除法治疗良性前列腺增生280例

TRANSURETHRAL RESECTION OF PROSTATE WITH THE BIPOLAR PLASMA KINETIC TECHNIQUE FOR BENIGN PROSTATE HYPERPLASIA:A REPORT OF 280 CASES

目的探讨经尿道等离子体双极电切剜除法治疗良性前列腺增生的安全性与有效性。方法采用经尿道等离子体双极电切行前列腺剜除280例。前列腺重量40～135g,平均75.0g。结果手术时间35～80min,平均45.0min。切除前列腺组织重量40～110g,平均75.0g。无电切综合征发生。术后4～5d拔除留置导尿管,全部病例排尿通畅。术后出现暂时性尿失禁27例,继发性前列腺出血8例,尿道狭窄9例,无死亡病例,无再次手术及永久性尿失禁等并发症发生。结论经尿道等离子体双极电切剜除法治疗良性前列腺增生安全有效。

Objective To evaluate the effect and safety of transurethral Resection of Prostate with the bipolar plasma kinetic technique （PKRP） in the treatment of benign prostate hyperplasia （BPH）. Methods 280 BPH patients underwent transurethral Resection of Prostate with the bipolar plasma kinetic technique. The preoperative estimated weight of the prostate ranged from 40 g to 135 g, averaged 75 g. Results The operation lasted for 35 - 80 min, averaging 45 min. The removed tissues weighed 40 - 110 g, averaging 75 g. During the operation no transurethral resection （TUR） syndrome occurred. The catheter was removed 4 - 5 days after the operation. 27eases of temporal incontinence. 8 cases of perioperative hemorrhage and 9 ease of urethral stricture occurred, and there were no death, re - operation and permanent urinary incontinence in these case. Conclusion Transurethral Resection of Prostate with the bipolar plasma kinetic technique is a safe and effective means for the treatment of BPH.