经尿道等离子双极汽化电切术治疗高危BPH.docVIP

经尿道等离子双极汽化电切术治疗高危BPH[摘要] 目的 评价经尿道等离子体双极汽化电切术治疗高危BPH的安全性和疗效。方法 回顾性分析62例高危BPH患者采用经尿道等离子双极汽化电切术，并对疗效进行分析。结果 手术时间40～200min，切除前列腺组织重量25～92（46±22）g，术中出血量平均75mL，无TURP综合征及闭孔神经反射发生。62例患者随访2～12个月，排尿通畅，夜尿症状缓解，IPSS评分由术前的平均25.2分下降为术后平均8.5分，Qmax由术前8.0mL/s增到18.5mL/s。结论 经尿道等离子体双极汽化电切术是一种安全性高、并发症少、疗效确切的方法。周密的术前准备、熟练的手术技巧、正规的手术操作、细心的术后管理是保证疗效满意的基础。 [关键词] 良性前列腺增生； 高危； 等离子体双极汽化电切 [中图分类号] R697 [文献标识码] A [文章编号] 1673-9701（2009）13-22-03 Transurethral Plasmakinetic Vaporization of Prostate for Treatment of High Risk Benign Prostatic Hyperplasia HAN Dongjiang TIAN Yong Department of Urology，General Hospital of Coalmine Group Company，Sichuan Panzhihua 617066 [Abstract] ObjectiveTo evaluate the safety and effectiveness of transurethral plasmakinetic vaporization of high risk benign prostatic hyperplasia. Methods62 patients with high risk benign prostatic hyperplasia（BPH）and been treated by TUPKVP were analysed retrospectively. ResultsThe operating time was from 40 to 200 minutes，the average weight of removed prostate was 25～92（46±22）g， hemorrhage volumn was 75mL during operation. No transurethral resection（TURP） syndrome and obturator nerve reflex occurred. The 62 patients were followed up for 2～12months，they micturate freely. The symptom of night-urination mend well. The International Prostate Symptom Scores（IPSS）decreased from 25.2 to 8.5. The Qmax increased from the 5.4mL/s before operation to 16.9mL/s after operation. maximal flow rate（Qmax） increased from 8.0mL/min to 18.5mL/min. ConclusionTUPKVP was a safe and effective method for transurethral resection of high risk BPH with less complication. In front of after the thorough technique prepares，the adept surgery is skilful，the regular surgery operates，the plan of the management is guarantees curative effect satisfaction the foundation. [Key Words]Benign prostatic hyperplasia； High risk； Transurethral plasmakinetic vaporization 良性前列腺增生症（BPH）是中老年男性最常见的泌尿系疾病之一，60岁以上的男性 60%有前列腺增生[1]。合并心、脑、肝、肾、肺等疾病，称高危BPH[2]。临床治疗顾忌较多，手术