经尿道双极等离子前列腺剜除术治疗良性前列腺增生40例临床分析
Transurethral bipolar intraluminal enucleation for benign prostatic hyperplasia: report of 40 cases
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摘要: 目的:探讨经尿道双极等离子前列腺剜除术治疗良性前列腺增生(benign prostatic hyperplasia,BPH)的手术方法及疗效。方法:采用双极等离子内镜系统对40例BPH患者行经尿道双极等离子前列腺剜除术,观察手术效果。结果:手术时间55~155 min,平均95 min;术中失血量约80~600 ml,平均180 ml;切除腺体重量平均67.2 g;无出血和经尿道前列腺电切综合征发生;随访6~18个月,无真性尿失禁,最大尿流率及国际前列腺症状评分提高。结论:经尿道双极等离子前列腺剜除术具有腺体切除彻底,术中出血少,手术时间缩短,疗效确切,并发症少,安全性高、恢复快等优点,尤其适合于大体积前列腺。Abstract: Objective: To evaluate the procedure of transurethral bipolar plasmakinetic enucleation for treatment of benign prostatic hyperplasia(BPH).Methods: A total of 40 patients with BPH were performed transurethral bipolar plasmakinetic enucleation of BPH.Results: The operation time ranged from 55 to 155 minutes(95 minutes on the average);perioperative blood loss was 80 to 600 ml(180 ml on the average);the average weight of resected prostate was 67.2 g.All the cases were followed up for 6 to 18 months.No transurethral resection syndrome or permanent urinary incontinence occurred.The maximum flow rate and international prostate symptoms score were significantly increased.Conclusions: Transurethral bipolar plasmakinetic enucleation is especially suitable for large prostate.It has many advantages such as thorough excision of the prostate,less blood loss in operation,less operation time and complication,higher security and quicker recovery.