标题：经尿道等离子腔内剜除术治疗良性前列腺增生90例

      作者：李伟东，赵 磊，张忠云，段启林，黄桂晓，曾 静，甘 露，黄树声
    （深圳市第五人民医院泌尿外科，广东 深圳 518001）

      卷次： 2013年24卷6期

      【摘要】 目的 探讨经尿道等离子腔内剜除术治疗良性前列腺增生（BPH）的价值。方法 对90例BPH患
者行经尿道等离子腔内剜除术。采用ACMI等离子双极电切环与电切镜鞘相结合，在前列腺尖部找到增生的腺
体与前列腺外科包膜之间的间隙，沿此间隙将增生的腺体从前列腺外科包膜上剥离，剜除，切碎。之后处理尖
部，使增生的前列腺腺体完整剥离，达到彻底切除的目的。分析手术安全性、彻底性及效果。结果 88例成功行
腔内剜除术，2例因层次不清而采用普通顺行切除。剜除过程中，多数病例腺体与外科包膜界面清楚，腺体血供
减少，未损伤前列腺外科包膜，切除腺体较彻底。随访6～18个月，患者症状改善明显，无严重并发症。结论 经
尿道等离子腔内剜除术治疗BPH效果好，具有安全、彻底、不易损伤前列腺外科包膜等优点。

      【关键词】 等离子；良性前列腺增生；剜除术

      【中图分类号】 R697+.3 【文献标识码】 A 【文章编号】 1003—6350（2013）06—0869—02

Clinical effect of bipolar plasmakinetic transurethral enucleation in the treatment of benign prostatic hyperplasia.
LI Wei-dong, ZHAO Lei, ZHANG Zhong-yun, DUAN Qi-lin, HUANG Gui-xiao, ZENG Jing, GAN Lu, HUANG Shu-sheng.
Department of Urology, the Fifth People's Hospital of Shenzhen, Shenzhen 518001, Guangdong, CHINA

【Abstract】 Objective To evaluate clinical effect of bipolar plasmakinetic transurethral enucleation in the
treatment of benign prostatic hyperplasia (BPH). Methods Ninety patients with BPH undergoing bipolar plasmaki-
netic transurethral enucleation were enrolled in this study. ACMI bipolar plasmakinetic wire loop and sheath were
used to find out the latent division between gland lining and the surgical envelope of the prostate. According to the di-
vision the whole central part of the prostate was removed from surgical envelope and chipped. The safety and effect of
the treatment were analyzed. Results Eighty-eight patients were performed transurethral enucleation of prostate suc-
cessfully, and 2 patients received conventional enucleation. The border of hyperplastic gland and the surgical envelope
were clear in most patients, and the gland had less blood supply, which facilitated thorough resection. During the fol-
low-up of 6~18 months, the patients’syndrome were greatly relieved, with no severe complications. Conclusion Bi-
polar plasmakinetic transurethral enucleation is effective, safe, thorough for treating benign prostatic hyperplasia, un-
likely to injury surgical envelope.

      【Key words】 Plasmakinetic; Benign prostatic hyperplasia; Enucleation