经尿道前列腺等离子双极电切术治疗良性前列腺增生89例疗效分析

Bipolar Transurethral Plasmakinefic Prostatectomy for 87 Cases of Benign Prostatic Hyperplasia

目的探讨经尿道前列腺等离子双极电切术(TUPKP)治疗良性前列腺增生(BPH)的疗效.方法采用经尿道前列腺等离子双极电切术治疗89例良性前列腺增生患者.结果切除前列腺组织重量21～103 g,平均52 g;手术时间25～100 min,平均55 min;无电切综合征(TURS)发生.术后随访3～9个月,最大尿流率(MFR)由术前的(7.5±3.8)mL/s升高到术后的(23.2±5.1)mL/s;平均尿流率(AFR)由(5.3±0.4)mL/s升高到术后的(11.8±1.9)mL/s;国际前列腺症状评分(IPSS)由(27.3±3.4)分降低至(6.2±1.9)分;残余尿量(RU)由(127.6±34.3)mL减少至(16.9±6.5)mL;生活质量评分(QOL)由术前的(5.3±0.8)分下降至(1.9±0.3)分;手术前后比较差异有统计学意义(P<0.05).结论 TUPKP治疗良性前列腺增生创伤小、并发症少、安全可靠、疗效确切.

Objective To evaluate the curative effect of bipolar transurethral plasmakinetic prostateetomy（TUPKP）in the treatment of benign prostate hyperplasia（BPH）.Method We summarized the clinical data of 89 patients with BPH treated with TUPKP.Results The resected tissues weighed 21～103 g,52 g on average.The operation lasted 25～100 min,55 min on average.No transurethral resection syndrome（TURS） occurred.The patients were followed up for 3～9 months,the maximum flow rate（MFR）increased from（7.5±3.8）mL/s to（23.2±5.1）mL/s;the average flow rate（AFR）increased from（5.3±0.4）mL/s to（11.8±1.9）mL/s;the international prostate symptom score（IPSS）decreased from（27.3±3.4）to（6.2±1.9）;the residual urine（RU）decreased from（127.6± 34.3）mL to（16.9±6.5）mL;the quality of life（QOL）scores decreased from（5.3±0.8）to（1.9±0.3）,the difference was statistically significant between before and after surgery（P0.05）.Conclusion TUPKP is a minimally invasive,safe,reliable,and effective treatment with few complications for BPH.