经尿道双极等离子体动能技术前列腺切除术治疗良性前列腺增生症：附297例报告

[Transurethral prostatectomy with the bipolar plasma kinetic technique for benign prostate hyperplasia: a report of 297 cases].

作者信息

Song Xi-Shuang, Che Xiang-Yu, Wang Jian-Bo, He Zhong-Zhou, Jiang Tao, Yin Ji-Bin, Zhang Ren-Ke

机构信息

Department of Urology, First Affiliated Hospital, Dalian Medical University, Dalian, Liaoning 116011, China.

出版信息

Zhonghua Nan Ke Xue. 2005 Feb;11(2):140-1, 144.

PMID:15755037

Abstract

OBJECTIVE

To evaluate the effect and safety of transurethral prostatectomy with the bipolar plasma kinetic technique (PKRP) in the treatment of benign prostate hyperplasia(BPH).

METHODS

Two hundred and ninty-seven BPH patients underwent transurethral prostatectomy with the bipolar plasma kinetic technique. The preoperative estimated weight of the prostate ranged from 35 g to 102 g, averaging 52 g.

RESULTS

The operation lasted 40 approximately 65 min, averaging 51 min. The resected tissues weighed 40 approximately 80 g, averaging 46 g. During the operation no transurethral resection (TUR) syndrome occurred. The catheter was removed 4 approximately 5 days after the operation, all with fluent urination. The patients were followed up for 2 approximately 33 months. IPSS decreased from average 31.5 preoperatively to average 6.8 postoperatively (P < 0.001). Average maximum flow-rate (Q(max)) decreased from 6.3 ml/s preoperatively to 18.6 ml/ s postoperatively (P < 0.001). Preoperative average residual urine was 97 ml and reduced to average 9 ml after the operation. Temporary incontinence occurred in 4 cases, perioperative hemorrhage in 2, and urethral stricture in 1.

CONCLUSION

Transurethral prostatectomy with the bipolar plasma kinetic technique is a safe and effective means for the treatment of BPH.

摘要

目的

评估双极等离子体动力技术（PKRP）经尿道前列腺切除术治疗良性前列腺增生（BPH）的疗效及安全性。

方法

297例BPH患者接受双极等离子体动力技术经尿道前列腺切除术。术前估计前列腺重量为35克至102克，平均52克。

结果

手术持续时间约40至65分钟，平均51分钟。切除组织重量约40至80克，平均46克。术中未发生经尿道电切（TUR）综合征。术后4至5天拔除导尿管，排尿均通畅。患者随访2至33个月。国际前列腺症状评分（IPSS）从术前平均31.5降至术后平均6.8（P<0.001）。平均最大尿流率（Q(max)）从术前6.3毫升/秒增至术后18.6毫升/秒（P<0.001）。术前平均残余尿量为97毫升，术后降至平均9毫升。4例出现暂时性尿失禁，2例发生围手术期出血，1例出现尿道狭窄。