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经尿道等离子双极汽化电切术治疗BPH(附262例报告) 被引量:19

Transurethal plasmakinetic vaporization of prostate for treatment of benign prostatic hyperplasia(Report of 262 cases)
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摘要 目的:评价经尿道等离子双极汽化电切术治疗BPH的安全性和疗效。方法:采用经尿道前列腺等离子汽化术(TUPKVP)治疗BPH患者262例。结果:手术时间25~120(41±26)min,切除前列腺组织重量15~85(40±17)g,术中出血少,无电切综合征和闭孔神经反射发生。术后随访6个月,IPSS由22.0±2.7分降至8.3±2.2分;QOL由4.7±0.7分降至1.0±1.1分;Qmax由(9.5±4.5)ml/s升至(23.8±7.7)ml/s;剩余尿由(96±83)ml减少至(17±10)ml。结论:经尿道前列腺等离子汽化术是一种安全性高、并发症少、疗效确切的方法。 Objective:To evaluate the safety and effectiveness of transurethal Plasmakinetic vaporization of the prostate (TUPKVP). Methods: 262 cases of BPH (benign prostatic hyperplasia)were treated with TUPKVP. Resuits: The average time of operation was 25 - 120 (41 ± 26 ) min, the average weight of removed prostate was 15 - 85 (40±17)g, Less blood loss and No transurethral resection syndrome or obturator nerve reflex occurred . All patients were Follwed up for 6 months postoperatively, the IPSS decreased from 22.0 ± 2. 7 to 8. 3 ± 2. 2, and the QOL decreased from 4.7±0.7 to 1.0!l. 1, the peak flow rate increased from 9.5±4.5ml/s to 23.8±7.7ml/s, and residual urine volume decreased from 96 ± 83ml to 17 ± 10ml. Conclusions.. TUPKVP was a safe and effective method for transurethral resection of BPH with less complications.
出处 《临床泌尿外科杂志》 2007年第2期125-127,共3页 Journal of Clinical Urology
关键词 前列腺增生症 经尿道前列腺汽化术 等离子体双极电切 Benign prostatic hyperplasia Transurethal resection of the prostate,Bipolar electrocautery
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