中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2015年
8期
705-706,722
,共3页
良性前列腺增生%前列腺剜除术
良性前列腺增生%前列腺剜除術
량성전렬선증생%전렬선완제술
Benign prostate hyperplasia%Transurethral plasmakinetic resection of the prostate
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。
目的：探討經尿道四步法等離子前列腺剜除術的療效。方法我院2012年1月～2014年2月對120例良性前列腺增生行經尿道引、剜、切、脩四步法等離子前列腺剜除術。結果手術時間（91．4±35．3）min；術中齣血（78．8±34．1）ml；切除前列腺組織重量（32．1±15．7） g；術後膀胱遲洗時間（1．5±0．5） d；術後拔尿管時間（3．5±0．8） d；術後住院（5．5±0．5）d。無死亡、輸血和前列腺電切綜閤徵髮生。術後3箇月隨訪：術後IPSS（4．5±2．2）分，明顯小于術前（24．5±5.1）分（t＝39．445，P＝0．000）；術後最大尿流率（21．5±10．5）ml／s，明顯大于術前（6．0±1．9）ml／s（t＝15．912，P＝0．000）；術後殘餘尿（12．0±2．0）ml，明顯少于術前（145．0±33．0）ml（t＝44．069，P＝0．000）。術後未髮生逆行射精、性功能障礙和排尿睏難等併髮癥。結論經尿道四步法等離子前列腺剜除術具有切除前列腺徹底，手術安全，簡便易學等諸多優點。
목적：탐토경뇨도사보법등리자전렬선완제술적료효。방법아원2012년1월～2014년2월대120례량성전렬선증생행경뇨도인、완、절、수사보법등리자전렬선완제술。결과수술시간（91．4±35．3）min；술중출혈（78．8±34．1）ml；절제전렬선조직중량（32．1±15．7） g；술후방광충세시간（1．5±0．5） d；술후발뇨관시간（3．5±0．8） d；술후주원（5．5±0．5）d。무사망、수혈화전렬선전절종합정발생。술후3개월수방：술후IPSS（4．5±2．2）분，명현소우술전（24．5±5.1）분（t＝39．445，P＝0．000）；술후최대뇨류솔（21．5±10．5）ml／s，명현대우술전（6．0±1．9）ml／s（t＝15．912，P＝0．000）；술후잔여뇨（12．0±2．0）ml，명현소우술전（145．0±33．0）ml（t＝44．069，P＝0．000）。술후미발생역행사정、성공능장애화배뇨곤난등병발증。결론경뇨도사보법등리자전렬선완제술구유절제전렬선철저，수술안전，간편역학등제다우점。
Objective To explore the efficacy of four-step method for transurethral enucleation of the prostate . Methods A retrospective analysis was conducted on 120 cases of benign prostate hyperplasia ( BPH) treated with four-step method ( traction, enucleation, resection, and repair ) for transurethral plasmakinetic resection of the prostate in our hospital from January 2012 to February 2014. Results The average operation time was (91.4 ±35.3) min.The intraoperative blood loss was 78.8 ±34.1 ml. The resection of the prostate tissue weight was (32.1 ±15.7) g.The postoperative bladder infusion time was (1.5 ±0.5) days.The postoperative indwelling catheter time was 3.5 ±0.8 days.The postoperative hospital stay was (5.5 ±0.5) days.No death, blood transfusion, or TURS happened.Follow-up reviews at 3 months after surgery found postoperative international prostatic symptom score (IPSS) was significantly less than the preoperative level [4.5 ±2.2 vs.24.5 ±5.1, t=39.445, P=0.000], postoperative Qmax was significantly higher than preoperative level [(21.5 ±10.5) ml/s vs.(6.0 ±1.9) ml/s, t =15.912, P =0.000], and postoperative residual urine was significantly less than the preoperative level [(12.0 ±2.0) ml vs.(145.0 ±33.0) ml;t=44.069, P =0.000].No retrograde ejaculation, sexual dysfunction, or dysuria happened. Conclusion The four-step method for transurethral enucleation of the prostate is radical , safe, and simple.
