前列腺汽化电切术260例临床分析  

Clinical analysis of transurethral electrovaporization of the prostate report of 260 cases

作　　者：沈建国[1] 李家栋[1] 

机构地区：[1]上海市交通大学附属第六人民医院分院奉贤区中心医院泌尿外科,上海201400

出　　处：《同济大学学报（医学版）》2007年第3期108-111,共4页Journal of Tongji University(Medical Science)

摘　　要：目的 探讨经尿道前列腺汽化电切术（transurethral vapor-resection of the prostate,TUVP）疗效影响因素,提高TUVP质量。方法 回顾性分析260例良性前列腺增生（benign prostatic hyperplasia,BPH）患者行TUVP的资料。年龄52～86岁,平均66.8岁。术前B超测定前列腺体积20.6～116 ml,平均52.4 ml。最大尿流率（Qmax）平均7.8 ml/s,平均尿流率（Qave）平均3.8 ml/s,剩余尿量（residual urinary volume,RUV）平均96 ml,IPSS评分平均23分。结果 258例患者手术效果满意,切除前列腺组织平均35.8g,电切时间平均56min,术中输血5例,2例因穿孔改行开放手术,发生经尿道电切综合征（transurethral resection syndrome,TURS）先兆4例,无TURS发生。225例（86.5%）患者随访1～36个月,最大尿流率（Qmax）平均增至17.5 ml/s,平均尿流率（Qave）平均增至8.9 ml/s,剩余尿量（RUV）平均降至20 ml,IPSS评分平均9分。各项指标与术前相比,差异均有统计学意义（P〈0.01）。结论 术前、术中、术后充分认识TUVP疗效影响因素,使TUVP规范化,可进一步提高TUVP质量。Objective To investigate the factors which may influente the therapeutic efficacy of transurethral electrovaporization of the prostate. Methods The clinical data of 260 patients with benign prostatic hyperplasia （BPH） were retrospectively reviewed based on the mastering of TUVP. The patients＇ age ranged from 52-86 years, with a mean of 66.8 years. Preoperatively, the volume of the prostate was 20.6- 116ml, with a mean of 52.4 ml, measured by B-ultrasound. The averagemaximum urinary flow rate （Qmax） was 7.8 ml/s, and the average of urinary flow rate （Qave） was 3.8 ml/s. The average of residual urinary volume （RUV） was 96ml, and the average of IPSS was 23. Results TUVP was successfully performed on the 258 patients. The average resected prostate tissue weight was 35.8 g. The average electric ablation time was 56 minutes. Intraoperative blood transfusion was performed in 5 cases. Two cases were underwent conversion to an open surgery. Aura of transurethral resection syndrome （TURS） occurred in 4 cases, but no TURS occurred. Of the 225, 225 cases（86.5% ） were followed up for 1-36 months. Postoperative average Qmax increased to 17.5 ml/s,Qave increased to 8.9 ml/s. and RU decreased to 20 ml, and IPSS to 9. Compared with those of cases of preoperation, the differences were statistically significant（P 〈0.01）. Conclusion Adequate and clear reeongnition of the efficacy-influencing factors before, during and after operation can improve the qualities of TUVP for the patients with BPH.

关 键 词：良性前列腺增生 汽化电切术 临床分析 

分 类 号：R697.34[医药卫生—泌尿科学]