关键词: 高危良性前列腺增生, 经尿道前列腺分区剜除术, 等离子

Abstract: 【Abstract】〓Objective〓To evaluate the effects of transurethral plasma kinetic enucleation of prostate in treatment of high risk patients suffered from benign prostatic hyperplasia. Methods〓Eighty-nine benign prostatic hyperplasia patients with severe complications were treated with transurethral plasma kinetic enucleation of the prostate. Perioperative prostate volume, residual urine, international prostate symptom score (IPSS), quality of life (QoL) and maximal flow rate (Qmax) were evaluated. Results〓Eighty-nine patients were performed the surgical protocol successfully,.no severe post-complication was noticed..The operation time was from 30 to 110 min,.an average 45±12.6 min. The weight of excision gland ranged from 20 to 60 g,.an average 30.6±13.2 g..Blood loss during operation was 50-300 ml, an average 110±26.9 ml. The average follow-up visit time was 3 months. IPSS dropped from 21.6±3.9 to11.8±5.1.(P<0.05)..RUV decreased from 120.2±27.6 ml to 20.2±12.3 ml (P<0.05). The Qmax increased from 7.1±4.4 ml/s to 14.6±5.2 ml/s(P<0.05). Conclusion〓Transurethral plasma kinetic enucleation of the middle lobe is an effective and safe surgical procedure for the patients with high risk benign prostatic hyperplasia.

Key words: Plasma, High risk benign prostatic hyperplasia, Transurethral plasma kinetic enucleation of prostate