经尿道双极等离子电切术治疗高危良性前列腺增生97例

【摘要】〓目的〓探讨经尿道前列腺双极等离子电切术(bipolar transurethral plasma kinetic resection of the prostate,TUPKP)治疗高危前列腺增生症(Benign prostatic hyperplasia,BPH)的安全性与有效性。方法〓回顾性分析经尿道前列腺双极等离子电切术治疗的高危BPH患者的临床资料97例,其中前列腺剜除51例、传统电切46例。结果〓手术时间为(51.3±22.1) min,术中出血平均(62.4±16.2) mL,切除的前列腺标本重量为(66.3±18.5)g,术后冲洗时间为(36.1±10.3)h,拔管时间为(5.0±1.5)d。国际前列腺症状评分(IPSS)由术前的(26.6±4.5)分降至(6.8±3.5)分,生活质量评分由术前的(4.9±1.3)分降至(1.8±0.6)分,差异均有统计学意义(P<0.01)。结论〓经尿道等离子电切术治疗高危前列腺增生是一种安全、有效的手术方式,但需根据患者具体情况个体化选择行剜除术或行传统电切术。

Treatment of high risk benign prostatic hyperplasia by bipolar transurethral plasma kinetic resection of the prostate in 97 cases

ObjectiveTo assess the clinical efficacy and safety of bipolar transurethral plasma kinetic resection of the prostate （TUPKP） for treatment of high risk patients with benign prostatic hyperplasia （BPH）. MethodsThe clinical data of 97 symptomatic BPH patients who underwent transurethral enucleate resection of prostate （TUERP） and TUPKP were retrospectively analyzed. 51 cases and 46 cases were performed by the methods of TUERP and TUPKP respectively. ResultsThe mean operation time was （51.3±22.1） min. The volume of blood loss was （62.4±16.2） mL. The mean weight of resected prostate glands was （66.3±18.5） g. The washing time after operation was （36.1±10.3） h; and the extubating time was （5.0±1.5） d. The international prostate symptom score （IPSS） decreased from 26.6±4.5 to 6.8±3.5.Quality of life decreased from 5.9±1.3 to 1.8±0.6, and all the differences were significant （P〈0.01）. ConclusionTUPKP were effective and safe to deal with the patients with BPH in high risk, but proper individual operation method （TUERP or TUPKP） should depend on the specific circumstances of the patients.