经尿道前列腺等离子体双机汽化电切术治疗前列腺增生症(附120例报告)

目的探讨等离子体双机汽化电切术(PKRP Plasmakeitic vaporize of prostate)治疗前列腺增生症(Benign prostatic hyperplasia BPH)的效果。方法采用英国Gyrus公司的等离子体双极汽化电切设备对120例BPH行经尿道前列腺汽化切除。结果手术均顺利,平均手术时间50min,平均切除前列腺50g,平均出血80ml,平均留置尿管时间4天;术后后期出血1例,为发生尿失禁、电切综合征(TURS)尿道狭窄等并发症。国际前列腺症状评分(IPSS)从术前26.5分降至术后3个月的5.6分(P<0.001),生活质量评分从术前5分降至术后2.3分。结论经尿道前列腺等离子体双极汽化电切术术后安全、并发症少,是治疗BPH有效的治疗方式。

Objective To investigate the efficacy of transurethral plasmakenitic vaporize of prostate（PKVP） in benign prostatic hyperplasia （BPH）. Methods 120patitens with benign prostatic hyperplasia （BPH） were treated by PKVP using the Gyrus2 plasmakenitic system（PKS）.Results All the patients underwent the operation successfully. Mean operation time was 50min.Mean resected prostatic tissue was 50g.Mean hemorrhage volume was 80ml. The mean time of an indwelling urethal catheter was 4 days. Postoperative hemorrahage occurred in later stage in 1 cases. No complications as incontinence ,transurethral vesection syndrome（TURS） and urethal stricture were found. International proststic symptom score（IPSS） decreased form 26.5 to 5.8（three months later）（P〈0.001）.Life quality scoredecreased from 5 to 2.3.Conclusion Transurethal plasmakenitic vaporize of prostate,Which is safe and less complation, is a effective miero-invasive surgical method for BPH.