Bipolar transurethral resection of the plasma treatment of benign prostatic hyperplasia.docVIP

 PAGE \* MERGEFORMAT 8 Bipolar transurethral resection of the plasma treatment of benign prostatic hyperplasia Author: Li Yang Chen Baihua Shen Qi Di Fang Yao Songnian with Malaysian roots [Keywords:] bipolar transurethral resection of the plasma of benign prostatic hyperplasia From November 2005 to October 2007, by application of bipolar transurethral resection of the plasma (Plasmakinetic resection of the prostate, PKRP) treatment of benign prostatic hyperplasia (Benign prostatic hyperplasis, BPH) 116 cases, results were satisfactory, the report is as follows . A clinical data 1.1 General Information of this group of 116 patients, aged 62 ~ 85 years, with an average 68.3 years of age. Benign prostatic hyperplasia measured by ultrasound thick weighs about 48 ~ 86 g, an average of 69.4 g, has serious difficulties in urinating. Among them 78 patients with history of urinary retention, hypertension 43 cases, 31 cases of coronary heart disease, chronic bronchitis, 28 cases, 36 cases of diabetes. Maximum urinary flow rate (Qmax) an average of 7.5 ml / s, the international prostate symptom score (IPSS) an average of 27.0 points. All cases confirmed by pathological examination after operation of prostate hyperplasia. 1.2 treatment of low continuous epidural anesthesia, take lithotomy position, the application ACMI bipolar transurethral resection of the plasma cutting system, electricity, F25.6 automatic water cycle mirror sheath, 30 ° endoscope, 360 ° rotation, double loop or single - loop bipolar cutting loop, continuous low-pressure irrigation with normal saline through the urethra transurethral bipolar plasma cutting power 160 ~ 180 W, coagulation power of 70 W. Cutting method; (1) the first 6:00 to cut the bladder neck fine Fu, (note that I cut the beginning of bladder neck should not be excessive), depth of capsule, forming a groove marks, and along the reverse, clockwise on both sides of leaves were removed gland hyperplasia tissue, to 12 point converge