Abstract: ［Abstract］ Objective To summarize the experience and record the clinical efficacy of transurethral plasma bipolar resection in the treatment of elderly patients with high risk of benign prostatic hyperplasia. Methods From January 2015 to June 2017，60 consecutive patients with symptomatic obstructive BPH were treated with transurethral plasmakinetic resection prostate. Preoperative and postoperative parameters were recorded and evaluated including International Prostate Symptom Score questionnaire（IPSS），maximum urinary flow rates（Qmax），prostate volume（assessed by transrectal ultrasound），postvoid residual urine volume（PRV）measurement and Quality of life score（QoL）. The operation time and complications were also recorded. Results Median follow-up was 15.68 ± 7.32 months. There were statistically significant differences between baseline and postoperative parameters. Mean Qmax increased from 5.6±4.2 ml/s to 23.2±1.7 ml/s（P<0.001）. Their mean IPSS improved from 22.3 ± 5.6 to 11.6 ± 2.5（P<0.001）and mean QOL improved from 5.01 ± 0.43 to 1.26 ± 0.78（P<0.001）. Urethral stricture developed in 1.6% of patients，respectively. No patient had recurrent BPH symptoms except one case of urethral stricture associated surgery needed further treatment. Conclusion Transurethral plasma bipolar resection of the prostate is a safe and effective treatment for patients with high risk of benign prostatic hyperplasia.

Key words: transurethral resection of the prostate, benign prostatic hyperplasia, the elderly

摘要： ［摘要］ 目的 总结经尿道等离子双极电切治疗高龄高危前列腺增生症患者的经验和观察其临床疗效。方法 回顾分析我科于2015 年1 月~2017 年6 月采用经尿道等离子双极电切术，治疗 60 例高龄高危前列腺增生症的临床资料，记录术前患者的 PSA、IPSS、QOL，统计手术时间、出血量、并发症发生率、术后住院时间等资料。结果 本组 60 例患者均顺利完成，平均手术时间103±32.3 min，平均出血量 62.6±34.4 mL，无输血，术后平均住院时间平均 7.4±1.1 d。术后 3 月 Qmax 19.8～26.3 mL/s，平均 23.2±1.7 mL/s；IPSS 6～17 分，平均 11.6±2.5 分；QOL 0～3 分，平均1.26±0.78 分，与术前相比差异有统计学意义，t 值分别为31.1、29.5、36.6，所有 P<0.001。术后5 例出现暂时性尿失禁，1 例发生术后尿道狭窄，经对症处理情况改善后出院。平均随访 15.68±7.32月，均未出现尿潴留，排尿畅。结论 经尿道等离子双极电切治疗高龄高危前列腺增生症患者是安全的、有效的。

关键词: 前列腺增生, 经尿道前列腺电切术, 老年