高危患者前列腺增生经尿道电切汽化治疗的临床探讨  

Analysis of endourological surgery with microwave for prostatic hyperplasia patient at high risk

作　　者：徐军[1] 李会宁[1] 陈斌[1] 

机构地区：[1]陕西省第二人民医院泌尿外科,陕西西安710005

出　　处：《中国内镜杂志》2006年第5期493-494,497,共3页China Journal of Endoscopy

摘　　要：目的探讨高危前列腺增生症经尿道前列腺电切汽化切割术(TUEVAP)的安全性及围手术期的处理。方法该组65例,年龄75￣94岁,平均82岁。均具有2种以上的全身疾病和泌尿外科并发症,前列腺体积35￣160mL,平均(74.2±3.7)mL。经围手术期个体化准备,调治心、脑、肺、肝、肾、高血压及糖尿病等疾病,控制尿路感染,观察手术效果及安全性。结果65例均安全接受TUEVAP治疗,无1例死亡或严重并发症。随访6￣30个月(平均18个月),国际前列腺症状评分(IPSS)从(28.3±3.4)分下降至(7.4±2.1)分。最大尿流率(Qmax)从(5.0±4.4)mL/s升至(18.0±4.1)mL/s,残余尿量由(310.0±60.0)mL降至(28.5±10.7)mL。结论TUEVAP是治疗高危前列腺增生患者安全有效的方法,围手术期个体化处理及手术技巧是治疗该类患者的关键。[Objective] To evaluate the safty and efficacy of TUEVAP with microwave for prostatic hyperplasia patient at high risk. [Methods] All 65 cases were analyzed, aging from 75-94, mean age 82. All suffered from at least two kinds of general diseases. Prostate volumns are 35-160 mL mean volumn （74.2±3.7） mL. Evaluate the safty and efficacy of TUEVAP after careful individual perparation. [Results] The operation of all 65 cases were successful without serious complication. All patients were followed up for 6-30 months. I-PSS drop from （28.3±3.4） to （7.4±2.1）, Qmax rise from （5.0±4.4） to（18.0±4.1） mL/s. [Conclusion] TUEVAP is a safe and efficient method to treat prostatic hyperplasia patient at high risk.The individual treatment and operation technique is very important for this operation.

关 键 词：高危前列腺□生症 经尿道电切汽化 围手术期处理 

分 类 号：R697.3[医药卫生—泌尿科学]