经尿道双极等离子电切术治疗良性前列腺增生疗效观察

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。

Transurethral Bipolar Plasmakinetic Prostatectomy for Benign Prostatic Hyperplasia

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.