106例经尿道等离子双极电切治疗大体积前列腺增生临床分析

Transurethral bipolar plasma kinetic resection of massive prostatic hyperplasia in 106 cases

目的探讨经尿道等离子双极电切治疗前列腺增生体积大于60mL患者的安全性和有效性。方法利用等离子双极汽化电切术(TUPKVP)治疗前列腺增生体积大于60mL患者106例。结果手术时间55～350min,平均(95±33)min,切除前列腺组织45～255g,平均(71±15)g,术后随访3～48个月,国际前列腺症状评分(IPSS)由术前的(29.5±5.6)分下降至术后的(8.8±3.2)分。最大尿流率(Qmax)由术前的(6.1±3.2)mL/s升高至术后的(18.0±5.6)mL/s,剩余尿量由术前的(376.8±210.7)减少到术后的(28±10)mL。生活质量评分由术前的(5.6±2.2)分降低至术后的(2.3±0.5)分。结论TUPKVP治疗前列腺增生体积大于60mL的患者安全、有效、并发症少。

Objective To investigate the safety and efficacy of the transurethral bipolar plasma kinetic resection of the patients with prostatic hyperplasia size greater than 60mL. Methods Transurethral plasmakentic vaporization of prostate（TUPKVP） was used to treat 106 patients with prostatic hyperplasia size＇greater than 60mL. Results The length of operation was 55-350min, averaging （ 95 ± 33 ） min and the prostate tissues were resected 45 - 255 g, with an average of （ 71 ± 15 ） g. A 3 - 48-month follow- up was made and the Inernational Prostate Symptom Score（IPSS）, Qmax, residual urine volume（RUV） and quality of life（QOL） were （29. 5 ±5.6） ,（6.1±3.2）mL/s,（376.8±210.7）mL,and （5.6±2.2） respectively before operation,but （8.8±3.2）,（18.0±5.6）mL/ s, （28±10）mL,and （2.3±0.5） respectively after operation. Conclusion TUPKVP treatment to the patients with prostatic hyperplasia size greater than 60mL is safe and effective with fewer complications.