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目的 :探讨双极汽化术治疗高危前列腺增生症 (BPH)的疗效和安全性。方法 :应用双极环状电极 ,采用分隔切除法对 1 3例BPH行经尿道前列腺汽化切除。术中 0 .9%生理盐水作导体介质及膀胱灌洗 ,术后留置三腔尿管。结果 :切除前列腺重量 65± 1 5 .5g,手术时间 32± 7.5min ,出血 70± 2 2 .8ml;留管时间 48h ,术中冲洗液 9.5± 0 .2 5L ;最大尿流率由术前 0至术后 1 5 .5± 2 .7ml/s(P <0 .0 0 1 ) ;IPSS评分 2 7.5± 3 .4至术后 7.2±2 .7(P <0 .0 1 )。结论 :双极汽化术出血少 ,有效防止了TURP综合征 ,治疗效果确切 ,是目前治疗高龄高危BPH的最安全有效治疗方法
Objective: To investigate the efficacy and safety of bipolar vaporization in the treatment of high-risk benign prostatic hyperplasia (BPH). Methods: Bipolar ring electrodes were used, and 13 cases of BPH underwent transurethral vaporization of the prostate by means of resection. Intraoperative 0.9% saline as the conductor medium and bladder lavage, after placement of three-chamber urinary catheter. Results: Prostate weight was 65 ± 15.5g, operation time was 32 ± 7.5min, hemorrhage was 70 ± 22.8ml, dilation time was 48h, intraoperative fluid was 9.5 ± 0.25L. The maximal uroflow rate was 0 to 1.55 ± 2 .7ml / s after operation (P <0.001); IPSS score ranged from 7.5 ± 3.4 days to 7.2 ± 2.7 (P <0.01) after operation. Conclusion: Bipolar vaporization less bleeding, effectively prevent the TURP syndrome, the exact effect is the most safe and effective treatment of elderly high-risk BPH treatment