经尿道四步法等离子前列腺剜除术120例报告

发布时间：2018-04-26 09:47

本文选题：良性前列腺增生 + 前列腺剜除术　；参考：《中国微创外科杂志》2015年08期

【摘要】：目的探讨经尿道四步法等离子前列腺剜除术的疗效。方法我院2012年1月~2014年2月对120例良性前列腺增生行经尿道引、剜、切、修四步法等离子前列腺剜除术。结果手术时间(91.4±35.3)min;术中出血(78.8±34.1)ml;切除前列腺组织重量(32.1±15.7)g;术后膀胱冲洗时间(1.5±0.5)d;术后拔尿管时间(3.5±0.8)d;术后住院(5.5±0.5)d。无死亡、输血和前列腺电切综合征发生。术后3个月随访:术后IPSS(4.5±2.2)分,明显小于术前(24.5±5.1)分(t=39.445,P=0.000);术后最大尿流率(21.5±10.5)ml/s,明显大于术前(6.0±1.9)ml/s(t=15.912,P=0.000);术后残余尿(12.0±2.0)ml,明显少于术前(145.0±33.0)ml(t=44.069,P=0.000)。术后未发生逆行射精、性功能障碍和排尿困难等并发症。结论经尿道四步法等离子前列腺剜除术具有切除前列腺彻底,手术安全,简便易学等诸多优点。
[Abstract]:Objective to investigate the effect of four-step plasma enucleation of prostate through urethra. Methods from January 2012 to February 2014, 120 patients with benign prostatic hyperplasia were treated with plasma enucleation through urethra, enucleation, excision and repair. Results the operative time was 91.4 卤35.3min; intraoperative bleeding was 78.8 卤34.1ml; resection of prostate tissue weight was 32.1 卤15.7g; postoperative bladder irrigation time was 1.5 卤0.5g; postoperative urinary catheter withdrawal time was 3.5 卤0.8d; postoperative hospitalization was 5.5 卤0.5nd. No death, blood transfusion and prostate resection syndrome occurred. The postoperative IPSS(4.5 卤2.2 score was significantly lower than that before operation (P < 24.5 卤5.1), and the maximum postoperative urine flow rate was 21.5 卤10.5ml / s, which was significantly higher than that of pre-operation (6.0 卤1.9 卤1.9ml / s) 15.912P0.000; the postoperative residual urine volume was 12.0 卤2.0ml / ml, which was significantly less than that before operation (145.0 卤33.0ml / min, P = 0.000). There were no complications such as retrograde ejaculation, sexual dysfunction and dysuria. Conclusion Transurethral plasma enucleation of the prostate has many advantages, such as complete resection of prostate, safe operation, easy to learn and so on.
【作者单位】：长江航运总医院泌尿外科;广州军区武汉总医院泌尿外科;
【分类号】：R699.8

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