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目的讨论经尿道等离子双极汽化电切术治疗高龄高危前列腺增生症的疗效。方法回顾2010年3月至2012年3月高龄高危前列腺增生症患者50例,均采用连续硬膜外阻滞麻醉,麻醉起效后,经尿道导引置入切割镜,应用等离子双极汽化电切,分别切除左右侧叶、前列腺尖部,随后修整切割创面进行治疗。结果 50例手术均成功,术中切除的前列腺重量平均(53.3±2.5)g,出血量平均为(52.4±5.3)ml,未出现严重并发症,均排尿通畅,随访12个月,IPSS评分降至(6.8±2.2)分。结论经尿道等离子双极汽化电切术是高危前列腺增生症患者有效地治疗方法,术中出血量少,止血效果好,并发症少,且安全性高。
Objective To discuss the efficacy of transurethral plasma-bipolar vaporization in the treatment of benign prostatic hyperplasia (BPH) in the elderly. Methods From March 2010 to March 2012,50 cases of elderly patients with high-risk benign prostatic hyperplasia were treated with continuous epidural anesthesia. After the onset of anesthesia, the urethral catheter was placed into the cutting mirror. Plasma bipolar vaporization Cut, respectively, left and right lateral lobes, prostatic apex, followed by trimming and cutting wounds for treatment. Results All the 50 surgeries were successful. The mean prostatectomy was (53.3 ± 2.5) g and the average amount of bleeding was (52.4 ± 5.3) ml. There was no serious complication and urination was smooth. After a follow - up of 12 months, To (6.8 ± 2.2) points. Conclusions Transurethral plasma bipolar vaporization is an effective treatment for patients with benign prostatic hyperplasia (BPH) at high risk. There are few bleeding during operation, good hemostatic effect, less complications and high safety.