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[前列腺电汽化术,一种治疗前列腺增生的新方法]

[Prostatic electrovaporization, a new treatment for prostatic hyperplasia].

作者信息

Santos García-Vaquero A, Chicharro Molero J A, Ruíz Roldán M, Burgos Rodríguez R

机构信息

Servicio de Urología, Hospital Regional, Málaga.

出版信息

Actas Urol Esp. 1997 Jul-Aug;21(7):644-8.

PMID:9412205
Abstract

TUR remains the choice technique for the surgical management of bph BUT, though effective, is not entirely free of morbidity. Over the last few years, new techniques have been developed trying to decrease morbidity, of which laser procedures are the most successful ones. We report here the prostate electrovaporization technique and our preliminary results in 75 patients seen over a 5-month period. The efficacy of the system is evaluated using the IPSS score and peak flow values; safety was assessed through the complications arisen, vesical catheter time and operating time. Mean hospital stay was 2 days, length of operation 32 minutes and post-operative vesical catheter time 48 hs; at 3 months, mean peak flow was 19.2 ml/seg and mean IPSS 7. Based en our preliminary results, quick convalescence, decreased cost and casiness of the technique, we consider prostate electrovaporization a likely alternative to conventional TUR, although further longer-term studies are warranted in order to evaluate the histological changes caused by this procedure on the prostate tissue.

摘要

经尿道前列腺切除术(TUR)仍然是良性前列腺增生(BPH)手术治疗的首选技术,但尽管有效,却并非完全没有并发症。在过去几年中,人们开发了新技术以试图降低并发症发生率,其中激光手术最为成功。我们在此报告前列腺电汽化技术以及我们在5个月内对75例患者的初步结果。使用国际前列腺症状评分(IPSS)和峰值流速值评估该系统的疗效;通过出现的并发症、膀胱导管留置时间和手术时间评估安全性。平均住院时间为2天,手术时长为32分钟,术后膀胱导管留置时间为48小时;在3个月时,平均峰值流速为19.2毫升/秒,平均IPSS为7分。基于我们的初步结果,即恢复快、成本降低且技术简便,我们认为前列腺电汽化术可能是传统TUR的一种替代方法,尽管需要进行进一步的长期研究以评估该手术对前列腺组织造成的组织学变化。

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