【作者】 刘泰荣； 杨罗艳； 金松； 于跃平； 刘薇；

【Author】 LIU Tai - rong, YANG Luo - yan, JIN Song, YU Yue - ping, LIU Wei(Department of Urology, the Second Xiangya Hospital, Central South University,Changsha, Hunan 410011 , P. R. China; Department of Urology, the SecondPeople’s Hospital of Yunnan Province, Kunming, Yunan 650021 , P. R. China)

【机构】 中南大学湘雅二医院泌尿外科； 云南省第二人民医院泌尿外科；

【摘要】 目的探讨治疗重度前列腺增生症(BPH)的有效方法。方法采用经尿道等离子体前列腺汽化术(PKVP)对46例重度BPH行前列腺汽化切除。结果手术(65±21)min,出血(80±35)mL,无电切综合征(TURS)发生,发生前列腺包膜穿孔1例。2、3 d拔除导尿管后皆排尿通畅。术后国际前列腺症状评分、生活质量评分、最大尿流率及剩余尿量比术前有明显改善(P<0.01)。结论PKVP具有并发症少、安全性高、疗效确切等优点,是当前治疗重度BPH的有效方法。更多还原

【Abstract】 [Objective] To evalue the effect of plasmakinetic vaporization in treatment of large volume benign prostatic hyperplasia(BPH). [Methods] 46 cases of large volume BPH patients were treated by transurethral plasmakinetic vaporization of prostate(PKVP). [Results] The operative time was (65±21 ) min, the intraoptrative bleeding was 80±35ml,no TURS happened and 2 cases of prostate surgical membranes was damaged. All patients had got normal voiding after removal of catheter 2-3 days postoperatively. The IPSS score, QOL score and RUV were decreased obviously and Qmax was improved postoperatively (P<0.01). [Conclusions] PKVP has the advantage of less complication, high safety and good efficacy. It is an ideal treatment for large volume BPH.更多还原