应用等离子体双极切割系统行经尿道前列腺剜除术120例

Transurethal enucleation of prostate with bipolar gyrus-plasma kinetic system:a report of 120 cases

目的探讨等离子体双极电切镜经尿道前列腺剜除术治疗良性前列腺增生症(BPH)的手术效果及安全性。方法采用等离子体双极切割系统行经尿道前列腺剜除术治疗BPH120例,观察手术时间、术中出血量、术后留置导尿管时间、膀胱痉挛、主要并发症、国际前列腺症状评分(IPSS)、生活质量评分(QOL)及最大尿流率(Qmax)等情况。结果平均手术时间、出血量和切除前列腺质量分别为(75.20±21.81)min、(59.50±24.69)mL、(65.30±19.93)g。术后出现尿道狭窄4例,暂时性尿失禁6例。术后随访3个月,IPSS由(27.65±5.23)分下降至(6.80±2.36)分,QOL由(5.25±0.63)分下降至(1.60±0.80)分,Qmax由(6.17±2.92)mL/s上升至(21.16±2.86)mL/s,治疗前后比较差异均有统计学意义(P<0.01)。结论应用等离子体双极切割系统行经尿道前列腺剜除术能有效减少手术并发症的发生,安全性高,疗效确切。

Objective To study the therapeutic efficacy and safety of transurethral plasma kinetic enucleation of prostate for benign prostatic hyperplasia （BPH）. Methods A total of 120 BPH patients underwent transurethral plasma kinetic enucleation of prostate. Operation time, intraoperative bleeding, urethral catheter indwelling, cystospasm, principal complications, IPSS, QOL, and maximal flow rate （Qmax） were observed. Results The average operation time, intraoperative bleeding and weight of resected prostate were （75.20±21.81） min, （59.50±24.69） mL, and （65.30±19.93） g, respectively. Urethral stricture occurred in 4 cases, and temporary urinary incontinence in 6 cases. IPSS, QOL and Qmax improved significantly after 3 months as compared with preoperation [（27.65±5.23） vs （6.80±2.36）, P0.01; （5.25±0.63） vs （1.60±0.80）, P0.01; （6.17±2.92） vs （21.16±2.86） mL/s, P0.01）. Conclusion Transurethral plasma kinetic enucleation of prostate is effective and safe in BPH.