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目的:探讨良性前列腺增生(BPH)应用等离子体切割系统经尿道前列腺剜除术的方法及疗效。方法:采用经尿道等离子电切联合腔内剜除法治疗BPH患者65例。结果:手术时间30~120 min,切除前列腺组织重量15~75 g,术中出血少,未发生电切综合征和膀胱穿孔等并发症。术后留置导尿管3~5 d,平均住院时间7 d。全部患者随访3~6个月,国际前列腺症状评分(IPSS)由(28.5±3.0)分下降至(8.0±4.0)分,生活质量评分(QOL)由(5.0±0.5)分下降至(1.5±0.5)分,剩余尿量由(80±25)mL减少至(20±5)mL,最大尿流率由(7.0±2.5)mL/s上升至(25.0±2.5)mL/s。结论:经尿道等离子电切联合腔内剜除法治疗BPH,具有安全、并发症少、前列腺切尽率高、疗效确切等优点。
Objective: To investigate the method and efficacy of transurethral resection of prostate for plasma benign prostatic hyperplasia (BPH). Methods: 65 cases of BPH were treated with transurethral resection of the plasma combined with lumpectomy. Results: The operation time was 30 ~ 120 min, the weight of prostate tissue was 15 ~ 75 g, less bleeding during operation, complications such as electrotomy and bladder perforation did not occur. Postoperative indwelling catheter 3 ~ 5 d, the average length of stay 7 d. All patients were followed up for 3 to 6 months, the IPSS decreased from (28.5 ± 3.0) to (8.0 ± 4.0) and the quality of life (QOL) decreased from (5.0 ± 0.5) to (1.5 ± 0.5), the residual urine volume decreased from (80 ± 25) mL to (20 ± 5) mL, and the maximum urinary flow rate increased from (7.0 ± 2.5) mL / s to (25.0 ± 2.5) mL / s. Conclusion: Transurethral resection combined with intraluminal 剜 excision method for the treatment of BPH, with safety, fewer complications, prostate incision rate is high, the exact effect and so on.