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目的研究经尿道前列腺等离子双极电切术(PKRP)治疗超高龄良性前列增生(BPH)的安全性及有效性。方法本组33例BPH患者,年龄80～91岁,平均83.4岁。前列腺体积为30～129ml。32例存在并存疾病,其中,伴有2种以上并存疾病者22例。在控制好并存疾病后行PKRP治疗。结果所有患者均顺利完成手术。手术时间平均46min,切除腺体组织平均36g,术中出血量平均95ml。无严重并发症发生。术后下尿路症状改善明显,国际前列腺症状评分(IPSS)由(26.1±7.2)降至(7.7±3.7),生活质量评分(QOL)由(4.6±1.3)降至(1.9±0.4),最大尿流率(Qmax)由(5.8±3.7)ml/s增加至(15.5±6.2)ml/s,均明显优于术前水平(P<0.05)。结论做好围手术期的各项医护工作,PKRP是超高龄BPH患者安全、有效的治疗方式。
Objective To study the safety and efficacy of transurethral prostatic plasma bipolar (PKRP) in the treatment of benign prostatic hyperplasia (BPH) in elderly patients. Methods The group of 33 patients with BPH, aged 80 to 91 years, mean 83.4 years. Prostate volume is 30 ~ 129ml. Thirty-two patients had co-morbidities, of which 22 patients had two or more co-morbidities. PKRP treatment is performed after controlling for co-morbidities. Results All patients successfully completed the operation. The average operation time was 46 minutes, the average gland removal was 36 g, and the average amount of bleeding during operation was 95 ml. No serious complications occurred. Postoperative lower urinary tract symptoms improved significantly, with a reduction in International Prostate Symptom Score (IPSS) from (26.1 ± 7.2) to (7.7 ± 3.7) and Quality of Life Scale (QOL) from (4.6 ± 1.3) to (1.9 ± 0.4) The maximum flow rate (Qmax) increased from (5.8 ± 3.7) ml / s to (15.5 ± 6.2) ml / s, which were significantly better than preoperative levels (P <0.05). Conclusion Perioperative nursing work is well done. PKRP is a safe and effective treatment for patients with ultra-advanced BPH.