摘要
目的:观察经尿道双极等离子电切术(Bipolar Plasmakinetic Transurethral Resection of Prostate,PK-TURP)治疗高龄前列腺增生症患者的安全性和疗效。方法:选取80岁以上急性尿潴留患者58例,经影像学和尿动力学检查证实前列腺增生是引起患者急性尿潴留的主要原因。应用PK-TURP对患者实施微创经尿道前列腺切除术。记录出血量、输血量、并发症、手术时间、膀胱冲洗时间、留置尿管时间、住院时间以及切除的前列腺标本重量。术后随访2年,根据急性尿潴留有无复发、国际前列腺症状评分(international prostate symptom scores,IPSS)、生活质量评分(quality of life,QoL)、残余尿量(postvoid residual urine,PVRU)、最大尿流率(maximal urine flow rates,Qmax)评价疗效。结果:58例高龄患者均安全地完成了手术,术中、术后没有出现严重的并发症。所有患者术后拔除尿管后均恢复自控排尿,随访2年内没有再次发生急性尿潴留,IPSS、QoL、PVRU、Qmax较术前均有明显改善(P<0.05)。结论:PK-TURP是治疗高龄前列腺增生症安全、有效的方法。
Objectives： To observe the safety and effect of bipolar plasmakinetic transurethral resection of prostate （PK-TURP） in the treatment of benign prostatic hyperplasia （BPH） in old patients.Method： 65 men over 80 years old with acute urinary retention were included in this clinical trial.These men had histories of suffering obvious BPH symptoms and were complicated with acute urinary retention recently.The radiography and urodynamic studies further confirmed that BPH was the major reason causing their acute urinary retention.All people underwent transurethral prostatectomy by means of PK-TURP.Medical data were collected concerning their blood loss,blood transfusion,complications,weight of resected tissue,operation time,duration of bladder irrigation,duration of catheter use and hospitalization time.After a 2-year follow-up,the effectiveness of the treatmen were assessed according to the reoccurrence rate of acute urinary retention,the international prostate symptom scores （IPSS）,quality of life （QoL）,postvoid residual urine （PVRU） volumes and maximal urine flow rates （Qmax.）.Results： The surgeries for 58 patients were completed safeoy.No serious complications occurred during and after the surgical procedures.The voluntary control of urination was recovered in all patients after the catheter was removed.There was no acute urinary retention reoccurred during the 2-year follow-up.IPSS,QoL,PVRU and Qmax of patients were significantly improved（P ＜ 0.05）.Conclusion： PK-TURP is a safe and effective therapy for the treatment of BPH in old patients.
出处
《中国性科学》
2014年第3期6-8,共3页
Chinese Journal of Human Sexuality
关键词
高龄
前列腺增生症
尿潴留
等离子
Old patients
Acute urinary retention
Benign prostate hyperplasia
Bipolar
Plasmakinetic
