Objective To discuss the clinical curative effects of transurethral bipolar vaporization of prostate (TUBVP) for benign prostatic hyperplasia (BPH). Method The TUBVP was conducted by the plasmakinsetic double pole vaporization electricity of British Gyrus Corporation for 163 patients with BPH. Results All the cases obtained satisfactory curative effect during 6 to 48 months follow-up. The pre- and postoperative international prostate gland symptom score (IPSS) was 27. 0 ± 6. 5 vs. 6. 5 ± 0. 6 respectively. Quality of life (QOL) was 4. 9 ±0. 8 vs. 1. 2 ±0. 3. The remaining amount of urine was (111. 6 ±35. 9) ml vs. (15.0 ±2.3)ml. The above indexes showed statistics significance with P <0. 01. Conclusion It is an effective method of the TUBVP made by plasmakinetic electrotomy for BPH with advantages of security, efficacy and broad indications.%目的 探讨经尿道前列腺等离子电切术治疗前列腺增生症的临床疗效. 方法 采用英国Gyrus公司的等离子体双极汽化电切设备治疗前列腺增生症163例. 结果 本组手术时间65～260 min,平均(90.3±22.6)min.切除的前列腺组织重18.5 ～79.5 9,平均(42.6±11.5)g.术中未输血,未发生TURS.均获随访,随访6～48个月.患者IPSS评分3～13分,平均(6.5±0.6)分；QOL评分0～2分,平均(1.2±0.3)分；膀胱残余尿量O～60 ml,平均(15.0±2.3)ml.上述3个指标与术前比较差异均有显著性(P＜0.01). 结论 经尿道前列腺等离子电切术因其安全、有效、适应证广、疗效确切,已成为前列腺增生症手术治疗的有效方法.
展开▼
