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目的评价经尿道双极等离子体电切治疗高危前列腺增生症的临床效果。方法对200例高危前列腺增生症患者行经尿道等离子切除术,并对其临床资料进行分析。结果手术时间15~115min,平均失血量90ml,围手术期无患者死亡,无电切综合征发生,无永久性尿失禁。随访3~72个月,排尿功能恢复满意。国际前列腺症状(IPSS)评分由术前28.5分下降至术后平均7.6分。生活质量评分(QOL)由术前5.0分下降到术后平均2.4分。最大尿流率由术前7.2ml/s上升到术后平均18.5ml/s。结论经尿道双极等离子体电切治疗高危前列腺增生症是一种安全有效的方法,但术前充分治疗合并症,使其达到麻醉和手术前要求,术中术后注意监控,及时治疗合并症对保证围手术期安全至关重要。
Objective To evaluate the clinical effect of transurethral bipolar plasma electrotomy for treatment of benign prostatic hyperplasia (BPH). Methods 200 cases of high-risk benign prostatic hyperplasia patients underwent transurethral resection of the plasma and its clinical data were analyzed. Results The operation time ranged from 15 to 115 minutes with an average blood loss of 90ml. There were no perioperative deaths, no incision-free syndrome and no permanent urinary incontinence. Follow-up 3 to 72 months, micturition recovery satisfaction. The International Prostate Symptom (IPSS) score decreased from 28.5 points preoperatively to 7.6 points postoperatively. The quality of life (QOL) decreased from 5.0 before surgery to 2.4 after surgery. The maximal uroflow rate increased from 7.2ml / s preoperatively to 18.5ml / s postoperatively. Conclusions Transurethral bipolar plasma electrotomy for the treatment of benign prostatic hyperplasia (BPH) is a safe and effective method. However, it is necessary to fully cure the comorbidities before anesthesia and preoperative surgery, to monitor and monitor postoperative complications, and to timely treat the complications To ensure perioperative safety is essential.