等离子电切术治疗820例良性前列腺增生症临床观察

Study on effect of plasma kinetic resection on benign prostatic hyperplasia

目的探讨经尿道等离子前列腺电切术(TUPKVP)治疗良性前列腺增生(BPH)的疗效。方法回顾性分析820例BPH患者的治疗效果,根据前列腺大小情况,术中采用顺行电切法(Nesbit法)、分割顺行电切法、分割结合逆行剜除法和完全逆行剜除法等。结果 285例采用Nesbit法,216例采用分割顺行电切法,233例采用分割结合逆行剜除法,86例采用完全逆行剜除法。治愈279例,术后短期尿失禁7例,手术当天急性出血致膀胱填塞3例,继发出血4例,尿道狭窄12例(均为尿道外口),膀胱颈挛缩2例,增生复发6例,无死亡病例。结论 TUPKVP治疗BPH安全、有效,任何体积大小的良性前列腺增生组织都能灵活切除,降低了手术的并发症。

Objective To evaluate the surgical effect of the transurethral resection of prostate plasma gasification bipolar TURP（TUPKVP）in the treatment of benign prostate hyperplasia（BPH）.Methods It is a retrospective study in the treatment of benign prostatic hyperplasia.According to the volume of hyperplastic prostate,the 820 patients were performed anterograde resection（285 cases）,partition anterograde resection（216 cases）,partition retrograde enucleation（233 cases）,completely retrograde enucleation（86 cases）.Results 279 cases were successful,and 7 cases had short term urinary incontinence,3 cases had acute bleeding,bladder fill,4 cases secondary bleeding,12 cases urethral stricture（external orifice of urethra）,2 cases of bladder neck contracture,6 cases recurrence prostate hyperplasia,and no death.Conclusion It is suggested that TUPKVP is effective and safe.It decreases surgical complications by various methods of transurethral resection of prostate.