蒋永波

[摘要] 目的 探究应用经尿道前列腺等离子双极电切术来治疗前列腺增生的临床效果。方法 随机选取该院2014年1月—2017年3月前来就诊的80例前列腺增生患者，患者均采取经尿道前列腺等离子双极电切术进行治疗，观察患者术中情况，术后疗效以及并发症发生情况。结果 患者所用到的手术时间为（63.77±17.9）min，放置导管时间为（4.1±1.5）d，手术过程中患者出血量为（120.3±80.7）mL，住院时间为（5.5±1.9）d，患者术后随访发现，其IPSS评分为由术前的（26.4±3.5）分降至（5.7±2.5）分，QOL评分为由术前的（5.1±0.4）分分降至（1.3±0.7）分，Qmax为由术前的（5.7± 3.8）mL/s升高到（18.5±4.2）mL/s，RUV为由术前的（87.5±6.8）mL降至（8.3±5.1）mL，且患者术中切除的组织重量为（55.7±6.5）g，术后5～8 d即可拔除所放置的导管，在此期间均无电切综合症发生。 结论 经尿道前列腺等离子双极电切术对于治疗前列腺增生不仅临床疗效显著，同时安全性很高，值得临床推广。

[关键词] 经尿道前列腺等离子双极电切术；前列腺增生；临床疗效

[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742（2018）01（a）-0085-03

Clinical Analysis of Transurethral Resection of Prostate by Plasma Bipolar Resection for Benign Prostatic Hyperplasia

JIANG Yong-bo

Department of Urinary Surgery， Xuyi Peoples Hospital， Xuyi， Jiangsu Province， 211700 China

[Abstract] Objective This paper tries to explore the clinical effect of transurethral bipolar resection of prostate for the treatment of benign prostatic hyperplasia. Methods 80 patients with benign prostatic hyperplasia were enrolled in the hospital from January 2014 to March 2017. All patients underwent transurethral resection of prostate bipolar plateau for treatment. The patients intraoperative status， postoperative efficacy and complication were observed. Results The time of operation was （63.77±17.9）min， the time of catheterization was （4.1±1.5）d， the amount of bleeding was （120.3±80.7） ml， the hospitalization time was （5.5±1.9）d， the frequency of IPSS was reduced from （26.4±3.5）pointto （5.7±2.5）points， QOL was reduced from （5.1±0.4）points to （1.3±0.7）points， Qmax from （5.7±3.8）mL/s to （18.5±4.2）mL/s， and RUV （87.5±6.8）mL decreaded to （8.3±5.1）mL. The weight of the resected tissue was （55.7±6.5） g， and the catheter was removed 5～8 days after operation. No electrical-cutting syndrome occurred during this period. Conclusion Transurethral bipolar resection of the prostate is not only effective in the treatment of benign prostatic hyperplasia， but also has high safety and worthy of clinical promotion.

[Key words] Transurethral bipolar resection of prostate by double transurethral resection of prostate； Prostatic hyperplasia； Clinical efficacy

前列腺增生又叫前列腺肥大，常见于中老年患者，促使该病发生的原因和发病机制众说纷纭，至今尚未有统一阐述[1]，目前已知的有吸烟，酗酒，肥胖，环境，人种，家族史等会对前列腺增生的发生产生较大影响，该病早期症状不是太典型，轻微下尿路梗阻[2]，随着病情的加重，症状会越来越明显，一般会出现储尿期症状，排尿期的症状和排尿后的症状。随着我国人口老龄化的不断明显，良性前列腺增生的患者比例随之不断上升，而对于良性前列腺增生的患者，一般临床上会出现排尿困难，尿路结石，尿路感染，血尿，尿潴留等的症状[3]，更甚者在严重时出现肾功能障碍，严重影响到患者的生命健康。……