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目的总结经尿道等离子双极电切术(TUPKP)治疗高危良性前列腺增生(BPH)的经验。方法回顾性分析800例采用TUPKP治疗的BPH患者的临床资料。结果手术时间为(51±22)min,切除的前列腺标本重量为(56±18)g,术后冲洗时间为(36±10)h,拔管时间为(4.0±1.5)d。国际前列腺症状评分(IPSS)由术前的(23.6±4.5)分降至(4.8±3.5)分;生活质量评分由术前的(5.9±1.8)分降至(1.8±0.6)分。5例发生电切综合征。术后尿道狭窄49例,水中毒6例,猝死1例,下肢静脉血栓形成2例,尿路感染21例。结论 TUPKP治疗BPH的电切效率和手术效果好,但仍需提高手术技巧和加强围术期的治疗。
Objective To summarize the experience of transurethral plasmaphotonotomy (TUPKP) in the treatment of high-risk benign prostatic hyperplasia (BPH). Methods The clinical data of 800 BPH patients treated with TUPKP were retrospectively analyzed. Results The operation time was (51 ± 22) min. The weight of resected prostate specimens was (56 ± 18) g. The postoperative wash time was (36 ± 10) h and the extubation time was (4.0 ± 1.5) days. The International Prostate Symptom Score (IPSS) dropped from (23.6 ± 4.5) points to (4.8 ± 3.5) points before surgery and from (5.9 ± 1.8) points to (1.8 ± 0.6) points before surgery. 5 cases of cut-off syndrome. Postoperative urethral stricture in 49 cases, 6 cases of water poisoning, sudden death in 1 case, venous thrombosis in 2 cases, urinary tract infection in 21 cases. Conclusion TUPKP treatment of BPH resection efficiency and surgical results, but still need to improve the surgical skills and to strengthen the perioperative treatment.