经尿道等离子双极电切治疗前列腺增生症62例临床分析

Transurethral Bipolar Plasma Kinetic Resection of Prostatic Hyperplasia with 62 Cases

目的分析经尿道等离子双极电切治疗前列腺增生症的效果。方法前列腺增生症(benignprostatic hyperplasia,BPH)患者62例中,留置导尿管7例,余55例平均最大尿流率(Qmax)为7.9 mL/s±1.2 mL/s;国际前列腺症状评分(International Prostate Symptom ScoreI,PSS)为17～35分,平均为24.1分±6.9分。采用经尿道等离子双极电切术(transurethral bipolar plasma kinetic resection of prostate,PKRP)治疗,随访观察6～18个月,对临床疗效和并发症进行观察。结果手术时间为45～110 min,平均79.5 min±20.6 min;术中出血量50～600 mL,平均160.4 mL±44.8 mL。无1例发生电切综合征。手术后3个月,复查Qmax为22.9 mL/s±4.2 mL/s;IPSS为4～19分,平均为6.9分±2.1分,两者和术前相比,差异均有统计学意义。结论采用PKRP治疗BPH,安全、有效。对于高龄、高危和体积较大的患者,采用PKRP治疗可能会更安全。

Objective To analyze the effect of plasma bipolar transurethral resection of benign prostatic hyperplasia.Methods 62 patients with benign prostatic hyperplasia（BPH） were adopted transurethral bipolar plasma kinetic resection of prostate（PKRP） treatment.7 cases had indwelling catheter.The average maximum flow rate（Qmax） of the other 55 cases were（7.9±1.2）mL/s;The international prostate symptom score（IPSS） is 17 to 35 minutes,an average of 24.1±6.9 points.All cases were followed up 6~18 months,and the clinical effect and complications were observed.Results The operative time was 45~110 min（79.5±20.6）min;The transoperative bleeding was 50 to 600 mL（160.4±44.8 mL）.No case of TURP syndrome.3 months after surgery,reviewed Qmax was（22.9±4.2）mL/s;IPSS was 4~19 points,with an average of 6.9±2.1 points,both results which compared with before surgery have statistically significant effect.Conclusion It might be safe and effective in the treatment of BPH with PKRP,expecialy for the elderly,high-risk and big body weight patients.