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目的:探讨经尿道双环双极等离子切除治疗前列腺增生症的有效性及安全性。方法:采用美国顺康双环双极等离子电切系统(ACMI vista CTR)治疗BPH268例;随访6个月。结果:手术时间20~140 min,平均手术时间(60.88±29.95)min;输血6例;无电切综合征发生;术后留置尿管3~5天,平均(3.91±0.84);术后平均住院时间(7.05±2.10)天。最大尿流率(Qmax)由术前的(5.89±3.59)mL/s上升至术后6个月的(18.98±4.67)mL/s(P<0.01);前列腺症状评分(IPSS),术前为(22.04±7.02)分,术后6个月降至(6.82±3.81)分(P<0.01)。结论:双环双极等离子切除治疗前列腺增生疗效好,手术安全,并发症少。
Objective: To investigate the effectiveness and safety of transurethral bipolar bipolar plasmapheresis in the treatment of benign prostatic hyperplasia. Methods: 268 cases of BPH were treated with ACMI vista CTR. The patients were followed up for 6 months. Results: The operative time was 20 to 140 minutes, the average operation time was 60.88 ± 29.95 min. The blood transfusion was performed in 6 cases. The incision-free cut-off syndrome occurred in 3 to 5 days after operation. The average operation time was (3.91 ± 0.84) Hospitalization time (7.05 ± 2.10) days. The maximum flow rate (Qmax) increased from 5.89 ± 3.59 mL / s preoperatively to 18.98 ± 4.67 mL / s at 6 months postoperatively (P <0.01) (22.04 ± 7.02) points and decreased to (6.82 ± 3.81) points 6 months after surgery (P <0.01). Conclusion: Bipolar bipolar plasma resection for benign prostatic hyperplasia has good curative effect, safe operation and few complications.