摘要
目的 :探讨经尿道双极等离子电切术 (TUPKP)治疗良性前列腺增生 (BPH)的疗效。 方法 :采用TUPKP治疗BPH 313例 ,记录手术时间 ,监测术中出血量 ,记录术后膀胱冲洗时间、留置尿管时间及术后住院时间 ;监测围术期血液指标 ;术后 1个月 2 90例获随访 ,术后 3个月 2 88例获随访 ,术后 1年 14 2例获随访 ,随访前后检查最大尿流率 (Qmax)、国际前列腺症状评分 (IPSS)、生活质量评分 (QOL)并进行疗效分析。 结果 :本组手术时间 (5 1± 2 2 )min ,术中出血量 (6 6± 6 0 )ml,无电切综合征发生 ,术后膀胱冲洗时间 (11± 10 )h ,术后留置尿管时间 (2 .0± 1.8)d ,术后住院时间 (3.6± 1.3)d。Qmax由术前的 (9.0± 4 .4 )ml/s上升至术后 1个月的 (2 0 .5± 7.1)ml/s、术后 3个月的(2 1.8± 5 .4 )ml/s和术后 1年的 (2 1.4± 6 .6 )ml/s(P <0 .0 1) ,IPSS由术前 (2 6 .2± 5 .1)分下降至术后 1个月的 (6 .0± 9.0 )分、术后 3个月的 (5 .6± 0 .8)分和术后 1年的 (4 .4± 2 .7)分 (P <0 .0 1) ,QOL亦有显著改善 (P <0 .0 1)。 结论 :TUPKP治疗BPH安全、疗效好、并发症少 ,有良好的应用前景。
Objective: To evaluate the effect and complications of transurethral plasmakinetic prostatectomy (TUPKP) in the treatment of benign prostatic hyperplasia(BPH). Methods: All 313 patients underwent TUPKP,and the operative indexes and perioperative blood indexes were recorded. After operation,290,288 and 142 cases of BPH were followed up at 1 month,3 months and 1 year respectively. Qmax,IPSS and QOL were measured in all the catamneses. Results: The operative time was (51±22) min;the mount of blood loss was (66±60) ml;no TURS occurred in any cases. The mean catheterization time was (11±10) h and the mean postoperative stay was ( 3.6 ± 1.3 ) d. Qmax increased from ( 9.0 ± 4.4 ) ml/s to ( 20.5 ± 7.1 ) ml/s at 1 month,( 21.8 ± 5.4 ) ml/s at 3 months and ( 21.4 ± 6.6 ) ml/s at 1 year after operation( P < 0.01 ). Correspondingly,IPSS decreased from ( 26.2 ± 5.1 ) score to ( 6.0 ± 9.0 ) score,( 5.6 ± 0.8 ) score and ( 4.4 ± 2.7 ) score( P < 0.01 ), and the QOL of all the catamneses significantly improved. Conclusion: TUPKP,a safe and effective method with fewer complications,can be recommended for the treatment of BPH.
出处
《中华男科学杂志》
CAS
CSCD
2004年第7期488-490,共3页
National Journal of Andrology
关键词
良性前列腺增生
经尿道双极等离子电切术
benign prostatic hyperplasia
transurethral plasmakinetic prostatectomy
