摘要
目的 :探讨经尿道等离子体双极电切治疗良性前列腺增生 (BPH)的安全性与有效性。方法 :采用经尿道等离子体双极电切行前列腺切除术 (PKVP)治疗BPH患者 10 0例。结果 :10 0例术中出血少 ,无前列腺电切综合征和闭孔神经反射的发生。术后随访 1～ 6个月 ,最大尿流率 (Qmax)由术前的 (7.8± 4 .2 )ml/s升高到术后的 (2 2 .4± 4 .7)ml/s;国际前列腺症状评分 (IPSS)由 (2 7.6± 4 .7)分降低至 (7.2± 2 .8)分 ;生活质量评分由 (4 .5±0 .5 )分降低至 (2 .5± 0 .5 )分 ;剩余尿量由 (76± 80 )ml减少至 (35± 4 5 )ml。结论 :PKVP具有安全性高、并发症少、前列腺切尽率高、疗效确切等优点。
Objective:To discuss the efficacy and safety of transurethral plasmakinetic vaporization of prostate(PKVP) .Methods:One hundred aged BPH patients were treated by PKVP.Results:less blood loss and no transurethral resection syndrom or obturator nerve reflex occurred. All patients were followed up for 1～6 months postoperatively, The peak flow rate increased from 7.8 ± 4.2 to 22.4 ± 4.7 ml/s. The IPSS decreased from 27.6 ± 4.7 to 7.2 ± 2.8 and the QOL decreased from 4.5 ± 0.5 to 2.5 ± 0.5 . Residual urine avolume decreased from 76±80 to 35±45 ml.Conclusions:PKVP has the advantages of high safety , less complications and good efficacy, have improved the excision rate of the prostate gland.
出处
《临床泌尿外科杂志》
2004年第7期391-392,395,共3页
Journal of Clinical Urology
