摘要
目的:探讨双极等离子经尿道前列腺解剖性剜除术治疗巨大前列腺增生的应用前景及其临床疗效。方法:回顾性分析2021年12月至2023年1月在我科收治的5例重量>300 g的巨大前列腺增生患者的临床资料。结果:5例均成功完成手术,年龄69~80(73.2±4.32)岁,PSA水平8.07~42.90(22.81±13.97)μg/L,前列腺重量321.05~534.26(388.34±84.26) g,手术时间120~240(174±61.48)min,粉碎时间:40~120(63±32.71) min。发生前列腺包膜穿孔、术后严重血尿1例,输血3例。短暂性尿失禁2例,分别在术后2周和4个月后好转至患者满意。术后1个月的国际前列腺症状平分、生活质量平分(和尿流率均较术前显著改善。结论:熟练的双极等离子剜除技术,经尿道前列腺解剖性剜除术治疗巨大前列腺增生安全有效。
Objective:To explore the application prospect and clinical efficacy of transurethral plasmakinetic enucleation of the Giant prostatic hyperplasia.Methods:The clinical data of 5 patients with Giant prostatic hyperplasia treated by transurethral plasmakinetic enucleation in our department from december 2021 to January 2023 were retrospectively analyzed.Results;All 5 patients successfully completed the operation,aged 69-80 years(73.2±4.32),PSA level was 8.07~42.90ng/ml(22.81±13.97),prostate volume was 321.05-534.26g(388.34±84.26),enucleation time was 120-240 min(174±61.48),Gland processing time 40-120 min(63±32.71).There were 1 case of perforation of prostate capsule and severe hematuria,3 cases of blood transfusion.2 cases of transient urinary incontinence were improved after 2 weeks and 4 months postoperative respectively.International Prostate Symptom Score(IPSS),and quality of life score(QoL)and Maximum urine flow rate(Qmax)were significantly improved compared with preoperative parameters.Conclusion:It is safe and effective to treat GPH with plasma enucleation through urethra with skilled plasma enucleation technique.
作者
加素尔·巴吐尔
库尔班江·阿布力克木
马吾苏木·马木特
海日拉·吾拉木
塔叶尔江·阿不都卡得
刘春晓
艾尔肯·吐尔逊
徐啊白
JASUR Batur;KERBANJIANG Abulikim;MAWUSUMU Mamute;HAIRILA Wulamu;TAYEERJIANG Abudukade;LIU Chun-xiao;AIERKEN Tuerxun;XU A-bai(Department of Urology,The First People's Hospital of Kashgar Prefecture,Kashgar,Xinjiang 844000,China;Department of Urology,Zhujiang Hospital,Southern Medical University,Guangzhou,Guangdong 510282,China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2023年第10期904-909,共6页
National Journal of Andrology
基金
新疆自然科学基金—面上项目(2021D01C017)
广东省农村科技(特派员)项目(KTPYJ2021004)
喀什地区科技计划项目(KS2021073)
关键词
经尿道双极等离子前列腺剜除术
巨大前列腺增生
老年
良性前列腺增生
bipolar plasmakinetic transurethral enucleation
giant prostatic hyperplasia
elderly
benign prostatic hyperplasia
作者简介
加素尔·巴吐尔(19-),男,新疆喀什市人,副主任医师,硕士,从事泌尿外科专业。Email:jesurbatur@foxmail.com;通讯作者:艾尔肯·吐尔逊,Email:Arkin64@126.com;通讯作者:徐啊白,Email:lc96xab@163.com
