摘要
目的：探讨经尿道双环双极等离子切除治疗前列腺增生症的有效性及安全性。方法：采用美国顺康双环双极等离子电切系统（ACMI vista CTR）治疗BPH268例;随访6个月。结果：手术时间20-140 min,平均手术时间（60.88±29.95）min;输血6例;无电切综合征发生;术后留置尿管3-5天,平均（3.91±0.84）;术后平均住院时间（7.05±2.10）天。最大尿流率（Qmax）由术前的（5.89±3.59）mL/s上升至术后6个月的（18.98±4.67）mL/s（P〈0.01）;前列腺症状评分（IPSS）,术前为（22.04±7.02）分,术后6个月降至（6.82±3.81）分（P〈0.01）。结论：双环双极等离子切除治疗前列腺增生疗效好,手术安全,并发症少。
Objective： To assess the efficacy and safety of transurethral resection of hyper plastic prostate with double-loops bipolar plasma kinetic technique. Methods： Two hundred and sixty-eight patients with symptomatic BPH were treated with system of the double-loops bipolar plasma kinetic （ACMI vista CTR） and followed up for six months. Results： The operative time ranged from 20 to 140 min, the mean operative time was （60.88±29.95）min. Six case needed blood transfusion during the operation, and no transurethral resection syndrome occurred. The mean catheterization time was （3.91±0.84） days （rang 3 to 5 days）. The Qmax increased from （5.89±3.59） mL·s^-1 of before resection to （18.98±4.67）mL·s^-1 of after six months （P〈0.01）, the IPSS decreased from （22.04±7.02） marks of before resection to （6.87±3.81） marks of after six months （P~ 0.01）. Conclusion： Transurethral doubleloops bipolar plasma kinetic resection of the prostate is an effective and safe method with fewer complications.
出处
《华西医学》
CAS
2009年第4期846-847,共2页
West China Medical Journal
关键词
双环双极等离子切除术
前列腺增生症经尿道
benign prostatic hyperplasia
transurethral
double-loops bipolar plasmakinetic resection
