经尿道等离子双极电切治疗高危良性前列腺增生200例体会
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[摘要] 目的：探讨经尿道等离子双极电切治疗高危前列腺增生的安全有效性。方法：采用经尿道等离子双极电切治疗高危前列腺增生患者200例。术后随访1～6 个月，比较术前术后的前列腺症状评分、生活质量评分、最大尿流率、残余尿量。结果：所有患者均安全耐受手术并出院，术中生命体征平稳，手术时间30～95 min，切除腺体25～80 g，术中平均出血约60 ml，无输血患者，无电切综合征及因手术加重其他脏器并发症发生，所有患者术后排尿通畅，最大尿流率等各项指标均较术前明显好转。结论：经尿道等离子双极电切用于治疗高危前列腺增生，是一种安全、有效的微创手术方法。
[关键词] 高危前列腺增生；等离子；经尿道电切；高危
[中图分类号] R69 [文献标识码]A[文章编号]1674-4721(2011)07(c)-026-03
Clinical experiences of 200 cases of high-risk benign prostate hyperplasia treated by transurethral prostectomy with the bipolar plasmakinetic technique
SU Hanjin1, XU Zhanping2, DING Yongquan1
1.Department of Urology, People′s Hospital of Gaozhou, Guangdong Province, Gaozhou 525200, China; 2.Deparment of Urology, Guangdong Provincial Hospital, Guangzhou 510080, China
[Abstract] Objective: To evaluate the effect and safety of transurethral prostectomy with the bipolar plasmakinetic technique (PKRP) in the treatment of high-risk benign prostate hyperplasia (BPH). Methods: 200 cases of high-risk BPH patients underwent PKRP. Patients were followed up 1 to 6 months, compared before and after operation of prostate symptom score (I-PSS), quality of life score (QOS), maximum flow rate (Qmax), residual urine volume. Results: All patients tolerated surgery safely, and discharged with stable vital signs surgery, operative time 30 to 95 min, removal of the gland 25 to 80 g, mean blood loss of about 60 ml, no blood transfusion cases, no TURP syndrome, and no increase due to surgery other organ complications, postoperative voiding in all cases, the maximum flow rate and other parameters were significantly improved preoperatively. Conclusion: PKRP is a safe and effective minimally invasive means for the treatment of high-risk BPH.
[Key words] High-risk BPH; Plasmakinetic; Transurethral resection; High-risk
本院2002年5月～2009年12 月采用等离子双极气化电切技术治疗高危良性前列腺增生(BPH)200例，效果满意，现报道如下：
1 资料与方法
1.1 一般资料
本组200例患者，年龄68～96 岁，平均82岁，其中> 90 岁者12 例。全部患者均表现为明显的尿路梗阻症状或膀胱刺激症状，病程6个月～15 年，98例发生过尿潴留，其中42例发生尿潴留置导尿3 次以上，长期留置尿管者24 例，膀胱造瘘15例，7 例有汽化电切手术史，慢性肾功能不全63 例。伴随疾病：高血压86例，冠心病47 例，脑梗死后遗症16 例，陈旧性心肌梗死3例，慢支肺气肿肺心病97 例，心律失常12例，装有心脏起搏器3例。其中合并2种器官功能损害者42例，3种或3种以上器官功能损害11例。所有患者术前均行直肠指检(DRE)，盆腔MRI检查，B 超检查 ......
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