经尿道单、双极电汽化术治疗前列腺增生的疗效比较

Comparison of the Effect of Transurethral Monopolar and Bipolar Vaporization of Prostate for Treatment of BPH

目的 :比较经尿道单、双极电汽化术治疗前列腺增生的短期疗效。方法 :比较单、双极汽化手术过程中失血量、冲洗液吸收量、手术时间及手术前后 IPSS、QOL、最大尿流率 (Qmax)、残余尿 (PVR)等指标。结果 :单极汽化术中平均出血量为 1 94 .4 ml,平均冲洗液吸收量为 1 0 2 2 m l,双极汽化术中平均出血量为 6 6 .0 ml,平均冲洗液吸收量为 4 6 6 ml,双极组无 TUR syndrom e发生 ,两组均无永久性尿失禁发生。结论 :双极电汽化术和单极电汽化术在改善 IPSS、QOL 等疗效方面无明显差异 ,但前者术中出血和冲洗液吸收更少 ,无经尿道前列腺电切综合征、尿失禁等严重并发症发生 。

Objective:To compare the short term effect between transurethral monopolar and bipolar vaporization of prostate for the treatment of BPH.Methods:The blood loss,the absorption of irrigation liquid,operation time and pre and post operation IPSS QOL PVR were compared between monopolar group and bipolar group.Results:The mean blood loss and absorption of irrigation liquid of monopolar group were 194.4ml and 1022ml,respectively,and bipolar group 66ml and 466ml.There was no TURS in bipolar group.Urinary incontinence was not found in both groups.Conclusion:There is no evident difference in effect of change of IPSS QOL PVR in two groups,but bipolar vaporization is more safe.