中华腔镜泌尿外科杂志（电子版）
中華腔鏡泌尿外科雜誌（電子版）
중화강경비뇨외과잡지（전자판）
CHINESE JOURNAL OF ENDOUROLOGY(ELECTRONIC VERSION)
2012年
2期
35-38
,共4页
陈楚红%龚旻%陈长青%胡巍%郭建华%祝凤明%顾建军%伊庆同%王华%田斌强%叶敏
陳楚紅%龔旻%陳長青%鬍巍%郭建華%祝鳳明%顧建軍%伊慶同%王華%田斌彊%葉敏
진초홍%공민%진장청%호외%곽건화%축봉명%고건군%이경동%왕화%전빈강%협민
经尿道双极等离子汽化电切术%高危重度%前列腺增生%Gyrus等离子体双极切割系统%前列腺电切术
經尿道雙極等離子汽化電切術%高危重度%前列腺增生%Gyrus等離子體雙極切割繫統%前列腺電切術
경뇨도쌍겁등리자기화전절술%고위중도%전렬선증생%Gyrus등리자체쌍겁절할계통%전렬선전절술
Transurethral vaporization of the prostate (TUVP)%High risk%Benign prostatic hyperplasia%TURP
目的 探索经尿道双极等离子汽化电切术在高危、重度前列腺增生患者中的安全性及其临床疗效,总结术前准备注意事项、术中手术技巧及术中监测的临床经验.方法 回顾性分析85例高危重度前列腺增生(BPH)患者行经尿道双极等离子汽化电切术(TUPVP)的临床资料,观察该手术对于高危重度BPH患者的临床疗效及手术并发症的发生情况.结果 手术时间50～135min,平均58±16 min;切除腺体重量16～56 g,平均31.6±9 g；术中出血量50～400 ml,平均110±36 ml.术前中心静脉压7.5±2.5 cmH2O,术中最高中心静脉压10.5±3.4 cmH2O,术后中心静脉压7.6±2.6 cmH2O.平均随访12个月,患者国际前列腺症状评分(IPSS)由25.1±2.9分降至7.2±3.2分,残余尿量由305±35 ml降至32±8 ml,最大尿流率由8.0±3.1 ml/s升至25.7±4.2 ml/s.结论 经尿道双极等离子汽化电切术治疗高危重度前列腺增生安全、有效.充分的术前准备,严格的术中、术后监护和护理以及个体化的手术方案是手术成功的关键.
目的 探索經尿道雙極等離子汽化電切術在高危、重度前列腺增生患者中的安全性及其臨床療效,總結術前準備註意事項、術中手術技巧及術中鑑測的臨床經驗.方法 迴顧性分析85例高危重度前列腺增生(BPH)患者行經尿道雙極等離子汽化電切術(TUPVP)的臨床資料,觀察該手術對于高危重度BPH患者的臨床療效及手術併髮癥的髮生情況.結果 手術時間50～135min,平均58±16 min;切除腺體重量16～56 g,平均31.6±9 g；術中齣血量50～400 ml,平均110±36 ml.術前中心靜脈壓7.5±2.5 cmH2O,術中最高中心靜脈壓10.5±3.4 cmH2O,術後中心靜脈壓7.6±2.6 cmH2O.平均隨訪12箇月,患者國際前列腺癥狀評分(IPSS)由25.1±2.9分降至7.2±3.2分,殘餘尿量由305±35 ml降至32±8 ml,最大尿流率由8.0±3.1 ml/s升至25.7±4.2 ml/s.結論 經尿道雙極等離子汽化電切術治療高危重度前列腺增生安全、有效.充分的術前準備,嚴格的術中、術後鑑護和護理以及箇體化的手術方案是手術成功的關鍵.
목적 탐색경뇨도쌍겁등리자기화전절술재고위、중도전렬선증생환자중적안전성급기림상료효,총결술전준비주의사항、술중수술기교급술중감측적림상경험.방법 회고성분석85례고위중도전렬선증생(BPH)환자행경뇨도쌍겁등리자기화전절술(TUPVP)적림상자료,관찰해수술대우고위중도BPH환자적림상료효급수술병발증적발생정황.결과 수술시간50～135min,평균58±16 min;절제선체중량16～56 g,평균31.6±9 g；술중출혈량50～400 ml,평균110±36 ml.술전중심정맥압7.5±2.5 cmH2O,술중최고중심정맥압10.5±3.4 cmH2O,술후중심정맥압7.6±2.6 cmH2O.평균수방12개월,환자국제전렬선증상평분(IPSS)유25.1±2.9분강지7.2±3.2분,잔여뇨량유305±35 ml강지32±8 ml,최대뇨류솔유8.0±3.1 ml/s승지25.7±4.2 ml/s.결론 경뇨도쌍겁등리자기화전절술치료고위중도전렬선증생안전、유효.충분적술전준비,엄격적술중、술후감호화호리이급개체화적수술방안시수술성공적관건.
Objective To explore the safety and efficacy of transurethral plasma kinetic vaporization prostatectomy in eld and high risk benign prostatic hyperplasia (BPH) patients.Methods The clinical data of 85 old patients with high risk benign prostatic hyperplasia underwent transurethral vaporization of the prostate (TUVP)were analyzed retrospectively.The preoperative preparation,operation skills,postoperative complications were observed.The international prostate symptom score (IPSS),residual urine volume (RUV)and maximum urine flow rate (Qmax) before and after operation were compared.Results Surgery time was 50-135 min,average 58 min.The weight of the resected gland was 16-56 g,average 31.6±9 g.The volume of blood loss was 50-400 ml,average 110±36 ml.The central venous pressure (CVP) before operation was 7.5±2.5 cmH2O.The highest central venous pressure in operation was 10.5±3.4 cmH2,O.The central venous pressure after operation was 7.6±2.6 cmH2O.The average follow-up visit time was 12 months.IPSS dropped from 25.3±2.9 to 7.2±3.2.RUV decreased from 305±35 ml to 32±8 ml.The Qmax increased from 8.0±3.1 ml/s to 25.7±4.2 ml/s.Conclusions Transurethral vaporization of the prostate in eld and high risk benign prostatic hyperplasia patients is safe and efficacious.
