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经尿道等离子体双极电切术治疗良性前列腺增生 被引量：17

Transurethral resction of hyperplastis prostate using bipolar plasmakinetic technique
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摘要 目的评价经尿道等离子体双极电切术治疗良性前列腺增生(BPH)的疗效.方法用经尿道等离子体双极电切行前列腺切除(PKRP)200例,病人年龄58～91岁,平均74.1岁,前列腺32～146g,平均(56.3±40.2)g.术后随访1～6个月.结果手术时间16～103min,平均(52±32)min,无一例需要输血,无电切综合征发生.术后IPSS由(27.1±4.5)分降至(11.3±3.4)分(P＜0.05);最大尿流率(MFR)由(6.1±2.4)ml/s上升至(1 8.6±3.5)ml/s(P＜0.05);生活质量评分(QOL)由术前的5.6下降至1.5(P＜0.05);剩余尿(RU)由(102.3±43.3)ml降至(22.6±16.3)ml(P＜0.05).4项指标手术前后比较差异均有显著性意义(P＜0.05).结论用双极等离子体进行PKRP安全有效. Objective To evaluate the validaty of bipolar plasmakinetic technique (PKRP) for the treatment ofBPH. Methode 200 patients(mean age of 74.1 years;ranging from 58 to 91) with symptomatic BPH without suspectedcancer (confirmed by IPSS ,urinary flow rate, ultrasonographic estimate and PSA tests) were treated by PKRP. Result ForPKRP, the duration of the procedure was (5232)min (range 16~103 min). The patients have been followed up for 1~6 mouthspostoperatively. No cases need blood transfusion during operation. No transurethral resection syndrome occurred. Themaximun flow rate (MFR) was elevated from (6.12.4)ml/s to (18.63.5)ml/s(P<0.05), IPSS, RU and QOL beingdropped from 27.14.5 to 11.33.4, (102.343.3)ml to (22.616.3)ml(P<0.05) and from 5.6 to 1.5 (P<0.05)respectively. Conclusion Transurethral bipolar plasmakinetic resection of the prostate is effective and safe.
作者 吴伟江 邹伟波 梁晓宇 蔡志高 骆立虎
机构地区 广东龙川县人民医院泌尿外科
出处 《中国男科学杂志》 CAS CSCD 2005年第1期30-31,共2页 Chinese Journal of Andrology
关键词 良性前列腺增生 经尿道前列腺电切综合征 等离子双极电切 benign prostatic hyperplasia TURPS bipolar plasmakinetic technique
分类号 R697.32 [医药卫生—泌尿科学] R699.8 [医药卫生—泌尿科学]
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参考文献8

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二级参考文献9

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共引文献218

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中国男科学杂志
2005年 第1期

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