经尿道应用电汽化与切割治疗高危前列腺增生症

目的　探讨汽化与切割联合治疗高危前列腺增生症的效果。方法　应用汽化与切割电极对 5 3例高危BPH行经尿道腺汽化加切割。平均年龄 76 .2岁 ,前列腺重量 5 8.6 g ,移行带指数 0 .14 ,手术时间6 5min ,出血量 5 0ml,术后膀胱持续冲洗 2 4h ,留置导尿管时间 72h ,住院时间 5d。结果　最大尿流率由术前的7.5ml/s上升至术后 3个月的 2 1.4 5ml/s,前列腺症状评分术前 2 3.32 ,术后 3个月降至 5 .4 (P <0 .0 0 1) ,残余尿由术前的平均 4 5 0ml,降至术后 3个月的 5 .6ml。结论　应用电汽化与切割治疗高危前列腺增生症出血少 ,可以将二者的长处有机结合 ,手术安全且治疗效果确切 ,达到组织切除多 ,并发症少的目的 ,是高危BPH的有效治疗方法。

TRANSURTHAL ELECTRO-VAPORIZATION AND TRANSURETHRAL RESECTION OF PROSTATE FOR THE TREATMEAT FOR HIGH-RISK BPH

Objective:To evaluate the validity of transurethral electro-vaporization and transurethral resection of prostate for the treatment of high-risk BPH.Methods:53 cases of high-risk BPH was transurethral treated with vaporization and resectiontome.Results:The mean age was 76.2. The mean weight of the prostate was 58.6 grams. The mean transition zone index was 0.14. The mean operative time was 65min and the mean blood loss 50ml. The mean catheterization time was 72h and the mean postoperative hospital stay was 5 days. Peak urine flow increased from 7.5ml/s to 21.45ml/s and I-PSS decreased from 23.32 to 5.4 at 3rd month postoperation(P< 0.001). Resident urine decreased from 450ml to 5.6ml at 3rd month postopeatively.Conclusions:Combined electro-vaporization and transurethral resection of the prostate for the treatment of high-risk BPH is as good as the standard TURP with the added benefits of less bleeding, decreased morbidity and shorter catheterization.