经尿道前列腺电汽化切割术治疗高危前列腺增生症  

TUVP for patients with benign prostatic hyperplasia at high risk condition

作　　者：何乐业[1] 龙智[1] 王勇[1] 钟狂飚[1] 

机构地区：[1]中南大学湘雅三医院泌尿外科,湖南长沙410013

出　　处：《中国内镜杂志》2008年第9期985-987,990,共4页China Journal of Endoscopy

摘　　要：目的探讨经尿道前列腺电汽化切割术(TUVP)治疗高危前列腺增生症(BPH)患者的疗效及安全性。方法回顾性分析该科行TUVP治疗的186例高危BPH患者的临床资料,对术前的准备、手术时机、手术的安全性、术后的处理及手术效果进行总结。入选高危患者的标准为:年龄80岁以上或患有严重的肾功能不全、心脏病、高血压、糖尿病、脑血管疾病、血小板减少、呼吸道疾病者。结果186例患者中,184例患者均安全度过围手术期,1例于术后第3天死于心功能衰竭,1例术后7d出院时因心肌梗死死亡。108例患者随访1～54个月,1例(84岁)患者出现中度尿失禁,1例(94岁)患者术后5个月死于心肺功能不全,11例患者LUTS症状改善不明显,其余患者排尿功能恢复良好,IPSS评分较术前平均下降16.5分,QOL平均下降3.0分,Qmax平均增加10.2mL/s,残余尿量平均下降75.3mL。结论高危BPH患者,只要加强围手术期的处理,TUVP治疗是一种安全可行、出血少、并发症少、恢复快、疗效明显的手术方法。[Objective] To evaluate the efficacy and safty of transurethral electrovaporization of prostate (TUVP) for patients with benign prostatic hyperplasia (BPH) at high risk condition. [Methods] The clinical data of 186 patients treated by TUVP were analyzed retrospectively, and the high risk condition was defined as more than 80 years old patients, or patients suffered from serious general diseases. [Results] All the operation were successful without serious complication, however, two patients died of heart dis...

关 键 词：经尿道前列腺电汽化切割术 前列腺增生症 高危患者 个体化治疗 

分 类 号：R699[医药卫生—泌尿科学]