[1]赵春明※,米其武,罗道升,等.经尿道等离子前列腺逆行剥离切除术治疗良性前列腺增生症[J].中国微创外科杂志,2008,08(8):731-732.
　Zhao Chunming,Mi Qiwu,Luo Daosheng,et al.Transurethral Retrograde Dissection of the Prostate for Benign Prostatic Hyperplasia[J].Chinese Journal of Minimally Invasive Surgery,2008,08(8):731-732.
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经尿道等离子前列腺逆行剥离切除术治疗良性前列腺增生症()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年8期
页码:
731-732
栏目:
出版日期:
2008-11-02

文章信息/Info

Title:
Transurethral Retrograde Dissection of the Prostate for Benign Prostatic Hyperplasia
作者:
赵春明※; 米其武; 罗道升; 王卫锋; 孟祥军; 张增强; 张志刚; 李牧
广东省东莞市人民医院泌尿外科，东莞523108
Author(s):
Zhao Chunming;  Mi Qiwu;  Luo Daosheng;  et al.
Department of Urology, People’s Hospital of Dongguan, Dongguan 523108, China
关键词:
前列腺增生症; 等离子; 经尿道前列腺切除术; 逆行
Keywords:
Benign prostatic hyperplasia; Plasmakinetic; Transurethral prostatic dissection; Retrograde
分类号:
R697+.32
文献标志码:
A
摘要:
目的探讨经尿道等离子前列腺逆行剥离切除术治疗良性前列腺增生症（benign prostatic hyperplasia，BPH）的效果。方法2005年12月～2007年12月，经尿道等离子前列腺逆行剥离切除术治疗BPH 68例。术前B超测量前列腺体积30～120 ml，平均75 ml；残余尿量（RU）60～250 ml，平均89 ml；最大尿流率（Qmax）3.5～6.9 ml/s,平均5.1 ml/s；IPSS评分19.8～23.5分，平均21.6分。结果68例均手术成功，切除的前列腺组织30～120 g，其中>60 g 15例。手术时间35～85 min，平均45 min。术中失血50～100 ml，平均60 ml，无输血。无前列腺外科包膜破裂、静脉窦破裂、膀胱前列腺连续部穿孔。68例术后随访4～6个月，Qmax增至16.4～23.2 ml/s(平均19.8 ml/s)，RU降至0～15 ml（平均5 ml），IPSS评分0～6.8分（平均4.2分），均恢复正常。无尿失禁。结论经尿道等离子前列腺逆行剥离切除术治疗BPH具有手术彻底、出血少、尿失禁发生率低等优点，手术相对简单,易于掌握。
Abstract:
ObjectiveTo investigate the efficacy of transurethral retrograde dissection of the prostate in the treatment of benign prostatic hyperplasia (BPH). MethodsSixtyeight patients with BPH were treated with transurethral retrograde dissection in our hospital from December 2005 to December 2007. Preoperative Bultrasonography showed that the prostate volume ranged from 30 to 120 ml (mean, 75 ml). The patients had a mean residual urine (RU) of 89 ml (60-250), mean peak urine flow rate (Qmax) of 5.1 ml/s (3.5-6.9), and mean IPSS of 21.6 (19.8-23.5). ResultsThe operation was completed in all of the 68 cases. The resected prostate tissues weighed 30 to 120 g (>60 g in 15 cases). The operation time ranged from 35 to 85 minutes (mean, 45), and the blood loss was 50-100 ml (mean, 60 ml). No case needed blood transfusion. No rupture of the prostatic capsule, venous sinuses, or perforation of the bladderprostate junction occurred in this series. The patients were followed up for 4 to 6 months, during which the Qmax increased to 16.4-23.2 ml/s(mean,19.8 ml/s), RU decreased to 0-15 ml (mean, 5 ml), and IPSS score improved to 0-6.8 (mean, 4.2). No patient developed urinary incontinence.ConclusionsTransurethral retrograde dissection of the prostate is effective for the treatment of BPH with a low morbidity rate of urinary incontinence. The procedure is simple and results in low blood loss.

参考文献/References:

[1]陈曾德.良性前列腺增生手术治疗.见：吴阶平，主编.吴阶平泌尿外科学.济南：山东科学技术出版社，2004.1187.
[2]Mebust WK，Hohgrewe HL，Cockett AT，et a1．Transurethral prostatectomy：immediate and postoperative complications．Cooperative study of 13 participating institutions evaluating 3885 patients．J Urol，2002,167：5-9.
[3]郑少波，刘春晓，徐亚文.前列腺腔内逆行剥离法在经尿道前列腺汽化切除术中的应用.第一军医大学学报，2005，25（6）：734-738.
[4]简百录，邓小枫，白羽，等.经尿道前列腺电气化联合撬拨术治疗高龄前列腺增生症.中国微创外科杂志,2005,5(4):312-313.
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备注/Memo

备注/Memo:
※通讯作者(现在广东省东莞市樟木头医院泌尿外科，东莞523633)
更新日期/Last Update: 2013-10-23