高频能量发生器前列腺电切术治疗良性前列腺增生

目的:探讨高频能量发生器(HFG)前列腺电切术治疗良性前列腺增生(BPH)的临床应用。方法:72例BPH患者根据术式分为2组,36例行HFG前列腺电切术,冲洗液为0.9%生理盐水;36例行经尿道前列腺电切术(TURP),冲洗液为5%葡萄糖溶液。统计每例患者术前术后血红蛋白(Hb),中心静脉压(CVP)的变化及手术时间。术后随访2周、6个月,观察国际前列腺症状评分(IPSS)、最大尿流率(Qmax)和前列腺体积的变化。结果:两组之间CVP、手术时间、术后2周IPSS和Qmax的差异有统计学意义(P0.05)。不同治疗组治疗前后Hb变化、IPSS变化和Qmax变化的差异有统计学意义(P0.05)。结论:HFG前列腺电切术操作简便,其更高的切割效率,使术中基本无出血,采用等渗生理盐水为灌洗液,杜绝了电切综合症(TURS)的发生。HFG前列腺电切术是TURP的改良升级,对于快速解除膀胱出口梗阻、治疗BPH患者安全有效。

Transurethral resection with high-frequency generator for benign prostate hyperplasia

Objective： To explore clinical application of transurethral resection with high-frequency generator （HFG） for benign prostate hyperplasia （BPH）. Method： Seventy-two BPH patients were studied and divided into two groups. The enrolled patients were undertaken transurethral resection with HFG and transurethral resection of prostate （TURP） respectively, which perfusion liquid was 0.9 % normal saline and 5 % glucose solution respec- tively. Each group has 36 cases. Level of hemoglobin （Hb） and central venous pressure （CVP） were recorded be- fore and after operation. Operation time was also recorded. We observed and analyzed all patients data including International Prostatic Symptom Score （IPSS）, maximum flow rate （Q max） and prostate volume two weeks and six months postoperatively. Result： There were remarkable differences in CVP and operation time between two groups （ P 〈0.05）. IPSS and Q max in HFG group were evaluated two weeks after operation and were significantly lower than those in TURP group （ P 〈0.05）. The change of Hb level, IPSS and Q max before and after operation showed significant differences between two groups （ P 〈0.05）. Conclusion： Transurethral resection with H FG for BPH is a safe, effective method with less intraoperative bleeding. The patients will be free from transurethral resection syndrome （TURS） if 0.9% normal saline is applied as perfusion liquid. It is demonstrated that transure- thral resection with HFG is superior to traditional TURP for rapid and efficient relieving the bladder outlet ob- struction.