摘要
目的探讨高危前列腺增生症等离子体双极电切的安全性和疗效。方法术前对病情和手术风险进行评估,并在围手术期进行充分的准备,采用经尿道双极汽化电切术切除前列腺(TUBVP)。结果30例高危前列腺增生患者均安全度过围手术期。手术时间38￣156min,平均(92±22.5)min,切除前列腺组织重量12￣92g,平均(56±18.4)g,均无需输血,无并发电切综合征(TURS),平均留置尿管7d。术后随访3￣6个月,最大尿流率由术前平均(4.4±1.8)mL/s增加至术后(19.5±2.3)mL/s,IPSS及QOL与术前比较均有明显改善,差异有统计学意义(P<0.05)。结论等离子体双极电切治疗高危前列腺增生症,具有安全,有效,值得临床推广。
[Objective] To evaluate the safety and efficacy of transurethral bipolar plas makinetic resection of the prostate for the treatment of benign prostatic hyperplasia（BPH） at high surgical risk. [Methods] The clinical condition and surgical risk of 30 BPH patients were preoperatively evaluated and properly adjusted during perioperative period. All the patients were treated with transturethral bipolar vaporization of prostate（TUBVP）. [Results] The TUBVP was success：fully performed on all the 30 patients with BPH at high surgical risk. The mean operative time was （92±22.5） rain （rang, 38-156 rain）. The resected BPH tissue weighed （56±18.4） g （rang, 12-92 g）. No case needed blood transfusion during the operation. No transurethral resection syndrome （TURS） occurred. The mean catheterization time was 7 days （6 to 8 days）. All cases were followed up for 3 to 6 months after treatment. The mean Qmax increased from （4.4±1.8） mL/s to （19.5±2.3） mL/s; mean IPSS and QOL decreased to （5.6±1.8） and （1.7±0.3）, respectively, which showed significant improvement, compared with those before operation （P 〈0.05）. [Conclusions] Only if the patients could be properly managed during preoperative period, TUBVP should be carried out safely, especially for the patients with BPH at high risk.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第12期1266-1268,共3页
China Journal of Endoscopy
