Nakao Atsushi, Fukui Koji, Togo Yoshikazu, Kokura Koji
The Department of Urology, Takarazuka Municipal Hospital, Japan.
Hinyokika Kiyo. 2010 Jul;56(7):367-70.
We have performed transurethral enucleation with bipolar system (TUEB) on 60 patients since April 2008. The patients were 61 to 81 years old (average 71.7 years old), and estimated prostate volumes were 25 cm3 to 80.43 cm3 (average 51.1 cm3). The weight of prostate removed was 8 g to 56 g (average 27.4 g) during the operations which lasted between 40 min to 200 min (average 117.5 min). The International Prostate Symptom Score (IPSS), quality of life index (QOL) maximum flow rate (Q max) and average flow rate (Qave) were recorded before operation, and at 1 and at 3 months after operation. The results indicated a high safety with TUEB compared to TUR-P even for beginners. In conclusion, TUEB may become the most common approach in the treatment of BPH.
自2008年4月以来,我们对60例患者实施了经尿道双极系统前列腺剜除术(TUEB)。患者年龄在61至81岁之间(平均71.7岁),估计前列腺体积为25立方厘米至80.43立方厘米(平均51.1立方厘米)。手术过程中切除的前列腺重量为8克至56克(平均27.4克),手术持续时间为40分钟至200分钟(平均117.5分钟)。记录了术前、术后1个月和3个月时的国际前列腺症状评分(IPSS)、生活质量指数(QOL)、最大尿流率(Q max)和平均尿流率(Qave)。结果表明,即使对于初学者而言,与经尿道前列腺电切术(TUR-P)相比,TUEB的安全性也很高。总之,TUEB可能会成为治疗良性前列腺增生症(BPH)最常用的方法。