经尿道前列腺等离子双极电切术治疗超高龄良性前列腺增生临床观察

Clinical observation of transurethral bipolar plasmakinetic resection of prostate for benign prostatic hyperplasia in super-aged men

目的研究经尿道前列腺等离子双极电切术(PKRP)治疗超高龄良性前列增生(BPH)的安全性及有效性。方法本组33例BPH患者,年龄80～91岁,平均83.4岁。前列腺体积为30～129ml。32例存在并存疾病,其中,伴有2种以上并存疾病者22例。在控制好并存疾病后行PKRP治疗。结果所有患者均顺利完成手术。手术时间平均46min,切除腺体组织平均36g,术中出血量平均95ml。无严重并发症发生。术后下尿路症状改善明显,国际前列腺症状评分(IPSS)由(26.1±7.2)降至(7.7±3.7),生活质量评分(QOL)由(4.6±1.3)降至(1.9±0.4),最大尿流率(Qmax)由(5.8±3.7)ml/s增加至(15.5±6.2)ml/s,均明显优于术前水平(P<0.05)。结论做好围手术期的各项医护工作,PKRP是超高龄BPH患者安全、有效的治疗方式。

Objective To evaluate the safety and emeacy of transurethral bipolar plasmakinetie resection of prostate （PKRP） for benign prostatic hyperplasia（BPH） in super-aged men. Methods The data of 33 super-aged patients with BPH treated by TURP was analysed, which aged 80 to 91 years. The prostate volume was from 30ml to 129ml. 32 patients combined with eomorbidities, of which with 2 or more comorbidities in 22 cases. PKRP was performed after treating coexisting diseases. Re- suits All patients were successfully operated. The mean operative time was 47min, the average weight of removal of prostatic glandular tissue was 36g, the average blood loss was 109ml. No serious complications occurred. Lower urinary tract symptoms （LUTS） improved significantly after surgery. There were significandy difference in the international prostate symptom score（IPSS） （26. 1±7. 2） reduced to （7. 7 ±3.7 ）, quality of life score （QOL） （4. 6 ± 1.3） reduced to （ 1.9 ± 0. 4） and maximum urinary flow rate （Qmax） （5.8±3.7 ） ml/s increased to （ 15.5±6. 2 ） ml/s between the preoperative and postoperative （ P 〈 0. 05 ）. Conclusion PKRP is safety and efficacy in treatment of benign prostatic hyperplasia in super-aged men after the correct medical care was performed during the perioperative period.