经尿道等离子体前列腺切割术治疗前列腺增生260例报告

Report of 260 BPH cases treated by transurether bipolar plasmakinetic rection of proatate(TUPKPP)

目的探讨经尿道等离子体双极电切术治疗BPH的临床疗效。方法采用英国佳乐全套等离子双极电切系统治疗BPH260例，前列腺体积30～180ml。观察术前、术后手术时间IPSS评分、QOL、Qmax、RU的差异。结果手术时间25～180min，平均62．8min。术后留置导尿管1～8d。全部患者随访3—21个月，IPSS由（25．8±3．5）下降至（15．3±1．5），QOL由（4．5±1）下降至（1．4±0．1），Qmax由（8±2）升到（18．5±2．6），RU由（30—480）ml减少至（16～28）ml。术前术后各参数比较，P〈0．05。结论经尿道等离子体双极电切术治疗BPH，具有安全、并发症少、疗效确切等优点。

Objective To investigate the clinical effects of TUPKRP. Methods 260BPH cases were electrovaporizauted with the Gyrus device made in British. The volume were 30 - 180ml. The change of score of IPSS, QOL, Qmax, RU between preoperations and after operations. Results The time of operations were ranged from 25 min to 180 rain. average 62. 8 rain. The indwelling catheter was1-8 day. All eases were followed up for 3 -21 months. Score of IPSS was reduced from（25.8±3.5）to（ 15.3 ±1.5）QOL was reduced from（4. 5±1）to（1.4±0. 1）,Qmax was rised from（8±2）to（18.5±2. 6）. RU was reduced from（30 ± 480） ml to （16 ±28）ml. All the dates were compared P〈0. 05. Conclusion TUPKRP of BPH is safe,less complications and reliable efficacy.