【摘要】 目的探讨经尿道等离子体双极电切术(PKRP)治疗良性前列腺增生(BPH)的安全性和疗效。方法采用PKRP治疗BPH238例。结果手术时间35～195min,平均(67±45)min,术中出血少,无电切综合征(TURS)和闭孔神经反射发生。术后随访6～12个月,国际前列腺症状评分(IPSS)由(24.3±6.4)分降至(13.9±5.6)分,生活质量评分(QOL)由(4.1±0.9)分降至(1.5±0.2)分,剩余尿量(RUV)由(96±82)ml减少至(15±7)ml。尿道外口狭窄4例,无后尿道狭窄及永久性尿失禁等并发症。结论经尿道等离子体双极电切术是一种安全性高、并发症少、疗效确切、适应证广的方法。更多还原

【Abstract】 Objective To evaluate the safety and efficacy of transurethral bipolar plasmakinetic resection of the prostate (TUPKRP)for the treatment of benign prostatic hyperplasia(BPH).Methods 238 cases of benign prostatic hyperplasia were treated with transurethral bipolar plasmakinetic resection of the prostate.Results The duration of the procedure was 35-195(67±45)min.No obturator reflex or transurethral resection syndrome occurred and the blood loss was low during operation.226 patients had been followed up for 6 to 12 months, and the international prostate symptom score(IPSS)decreased from(24.3±6.4) preoperatively to (13.9±5.6) postoperatively.The scores of quality of life(QOL)decreased from(4.1±0.9) preoperatively to (1.5±0.2)postoperatively.The residual urine volume (RUV) decreased from (96±82)ml preoperatively to (15±7) ml postoperatively.4 cases of external urethral stricture and no cases of posterior urethral stricture and no cases of permanent incontinence of urine were found.Conclusion Transurethral bipolar plasmakinetic resection of the prostate for thetreatment of benign prostatic hyperplasia is effective and safe with few complications and general indications.更多还原