经尿道前列腺电切术治疗前列腺增生200例体会  

The Experiences of Transurethral Resection of Prostate for Benign Prostatic Hyperplasia (with a Report of 200 Cases)

作　　者：黄旭光 潘晓明 

机构地区：[1]广东省乐昌市第一人民医院普外科，乐昌512200

出　　处：《中国现代手术学杂志》2005年第3期231-233,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的总结经尿道前列腺电切术(transurethral resection of prostate,TURP)的手术技巧,并分析其疗效.方法2001年3月～2004年3月,采用分区电切法行TURp200例.结果手术时间平均55(30～80)min,切除前列腺组织平均30.8(15.0～70.0)g,平均前列腺组织切除率80%,术中输血6例,术后早期出血2例,迟发性出血3例,经保守治疗后止血成功.4例发生暂时性尿失禁,未发生永久性尿失禁及电切综合征.术后3～5 d拔除尿管,术后平均住院7.9(3～11)d.国际前列腺症状评分、生活质量评分均明显改善,分别从术前的27分、4.8分降至术后的9.8分、2.5分.结论采用分区电切法行TURp具有手术效果好,并发症少的优点.Objective To investigate the operative technique and therapeutic effect of transurethral resection of prostate(TURP). Method 200 cases of hyperplasia of prostate underwent sectionalized TURP from March 2001 to March 2004. Result Operative duration was 30 to 80 min (mean 55 min), resected prostate weighted 15.0 to 70.0 g (mean 30.8 g), average resection rate of prostate was 80%, 6 cases experienced transfusion. Postoperative hemorrhage occurred in early stage in 2 cases, late stage in 3 cases, and hemostasis achieved in all cases with conservative treatment. Temporary urinary incontinence occurred in 4 cases, there was no occurrence of permanent urinary incontinence and transurethral resection syndrome. Urethral catheter removed 3 to 5 days postoperatively, average hospital duration was 7.9 days(3-11d). International prostatic symptom score and life quality score were significantly decreased after operation as 27 and 4.8 preoperatively versus 9.8 and 2.5 postoperatively. Comclusion TURP via sectionalized approach demonstrate the advantages of better result and less complication.

关 键 词：经尿道电切术 前列腺增生 TURP BPH 肾功能 低压灌洗 

分 类 号：R699.8[医药卫生—泌尿科学]