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目的:探讨经尿道前列腺等离子电切联合剜除术治疗BPH的可行性。方法:对28例BPH患者经尿道置入前列腺等离子电切镜,常规切除中叶及左右侧叶部分前列腺组织(无须切至包膜),再以精阜为标志,于6点钟处点切的方法找到包膜,用剜除术的方法分别剜除中叶及左右侧叶,遇到剥离困难处即中止剜除,切除已剥离的组织,再以包膜为界面,逐步切除尚未剥离的前列腺组织,直至完全切除。结果:28例患者均手术成功。术后住院时间6～7d,拔管后均排尿良好。术后最大尿流率20～36ml/s,平均(28.4±5.2)ml/s,IPSS评分(4.5±2.1)分。与术前比较差异有统计学意义(P<0.01)。结论:经尿道前列腺等离子电切结合剜除术治疗BPH是安全有效的方法,尤其适用于尚未熟练掌握前列腺剜除技术的医务人员。
Objective: To investigate the feasibility of transurethral resection of prostate combined with prostatectomy in the treatment of BPH. Methods: Twenty-eight BPH patients underwent transurethral resection of the prostate with plasma resection of the prostate. Conventional resection of the middle and left and right lobe sections of the prostate tissue (without cutting to the envelope) was performed, followed by elaboration as a cutoff at 6 o’clock Methods to find the capsule, with the method of removal of the middle and left and right side of the leaves were removed in the case of stripping difficulties encountered abortion, removal of the stripped tissue, and then the envelope as the interface, and gradually removed the prostate tissue has not stripped Until completely removed. Results: All the 28 patients were operated successfully. Postoperative hospital stay 6 ~ 7d, extubation after voiding well. The maximal postoperative uroflow rate was 20-36ml / s, with an average of (28.4 ± 5.2) ml / s and an IPSS score of (4.5 ± 2.1) points. Compared with the preoperative difference was statistically significant (P <0.01). CONCLUSION: Transurethral resection of prostate combined with prostatectomy is a safe and effective method for the treatment of BPH, especially for medical staff who have not yet mastered the technique of prostatectomy.