TURP治疗巨大前列腺增生症的体会(附41例报告)  

Experience with TURP in treating huge benign prostatic hyperplasia(A report of 41 cases)

作　　者：黄健[1] 郭正辉[1] 黄海[1] 许可慰[1] 江春[1] 廖尚范[2] 伊岱旭[2] 黄志明[2] 吴用祥[2] 

机构地区：[1]中山大学第二附属医院泌尿外科,510120 [2]福建省三明市第一医院泌尿外科,365000

出　　处：《岭南现代临床外科》2004年第4期288-289,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨巨大良性前列增生症(benignprostatichyperplasia,BPH)的治疗方法。方法回顾性分析41例巨大的BPH患者采用经尿道前列切除术(transurethralresectionoftheprostate,TURP)治疗的临床资料。结果TURP后,前列腺症状评分(internationalprostatesymptomscore,IPSS)由术前平均30±2郾5分,降至术后8郾1±2郾5分;最大尿流率由术前平均(5郾1±2郾4)ml/s升至术后平均(18郾6±5郾3)ml/s;剩余尿由术前50～1100ml降至术后0～40ml。手术并发症5例(12郾3%),其中前列腺电切综合征(transurethralresectionsyndrome,TURS)3例,继发出血2例。结论在熟练掌握TURP技术后,用TURP治疗巨大BPH是一种相对安全、并发症少、疗效好的方法。Objective To explore the therapeutic methods of huge benign prostatic hyperplasia(BPH).Methods 41cases with huge BPH received TURP were analyzed retrospectively.Resutls In the postoperation of TURP,the IPSS was decreased from 30±2.5 score to 8.1±2.3 score.The maximal uroflow rate was increased from 5.1±2.4 ml/s to 18.6±5.3 ml/s.The residual urine was decreased from 50～1100 ml to 0～40 ml.Operative complications was found in 5 cases(12.3%).Among them,3 cases were TURS,2 cases were secondary bleeding after operation.Conclusion TURP is a safe and effective method to treat the huge BPH with proficient skill.

关 键 词：治疗 TURP 术后 巨大前列腺增生症 BPH 术前 并发症 体会 剩余尿 症状评分 

分 类 号：R697[医药卫生—泌尿科学] R759.1[医药卫生—外科学]