【摘要】 目的探讨等离子体双极汽化电切术治疗Ⅳ度前列腺增生症的疗效和安全性。方法在充分的术前准备后,采用经尿道等离子双极汽化前列腺切除术,患者年龄73～89岁,平均77.8岁;前列腺重量77～112.4g(97.6±24.1)g。术后随访3～l2个月。结果22例平均手术时间(133±37)min(107～165min),切除前列腺组织重量平均(82±29)g(62～93g),无一例需输血,无经尿道电切综合征(TURS)的发生,最大尿流率(Qmax)由术前0～7ml/s恢复到术后的(19.5±2.5)ml/s;国际前列腺症状评分(IPSS)由术前(27.5±2.4)下降至术后(6.7±2.2),生活质量评分(QOL)由术前的(5.1±0.4)下降至(1.8±0.4)。结论等离子体双极电切除术的术中、术后出血量少,可以避免TURP综合征的发生,疗效确切,在Ⅳ度前列腺增生症的治疗手段中,是安全、有效的手术方式。更多还原

【Abstract】 Objective To explore the efficacy and safety of transurethral bipolar vaporization of prostate (TUBVP) for the treatment of grade Ⅳ benign prostatic hyperplasia (BPH). Methods 22 patients (mean age 77.8 years; ranged from 73 to89) with BPH were treated by TUBVP. The weight of prostates were 77～112.4g (97.6±24.1)g. All patients were followed up for 3～l2 months postoperatively. Results The average time of operation was (133±37) min (107～165 min),and the average weight of removed prostates was (82±29)g (62～93g). No case needed blood transfusion during the operation. No transurethral resection syndrome occurred. The peak flow rate increased from 0～7ml/s to(19.5±2.5)ml/s. The IPSS decreased from (27.5±2.4) to (6.7±2.2),and the QOL decreased from (5.1±0.4) to (1.8±0.4). Conclusion Using TUBVP,can be avoid the transurethral resection syndrome and haemorrhage in operation can be avoided. It was a safe and effective method for transurethral resection of grade Ⅳ BPH.更多还原