经尿道前列腺裂开术治疗前列腺增生疗效评价  

The value of transurethral prostatic splitting operation for the treatmnet of benign prostatic hyperplasia

作　　者：刘加升[1] 马元华[1] 许正国[1] 杨玉国[1] 张立光[1] 姜汉胜[2] 

机构地区：[1]沛县中医院泌尿外科,江苏沛县221600 [2]平度市人民医院泌尿外科,山东平度266700

出　　处：《徐州医学院学报》2008年第8期524-526,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的评价经尿道前列腺裂开术治疗前列腺增生的有效性和安全性。方法回顾性分析196例经尿道前列腺裂开术治疗的良性前列腺增生患者的临床疗效。结果术后188例获得随访,随访率95.9%,随访时间6个月～3年。最大尿流率由术前7.6ml/s升到术后20.1ml/s(术后6个月),剩余尿量由术前126.5ml减至术后16.3ml,国际前列腺症状评分由术前24.1分降至术后5.6分。结论经尿道前列腺裂开术治疗前列腺增生,具有安全性高、并发症少、疗效好的优点。Objective To evaluate the therapeutic effect of transurethral prostatic splitting （TUPS） operation for treating benign prostatic hyperplasia （BPH）. Methods A review was made on the clinical effects in 196 patients with symptomatic BPH treated by TUPS. Results One hundred and eighty - eight out of the 196 （95.9%） patients were followed up for 6 months to 3 years. It was found that the peak urine flow rate increased from 7.6 ml/s to 20.1 ml/s, the residual urine volume （RUV） decreased from 126.5 ml to 16.3 ml, and the IPSS decreased from 24.1 to 5.6 points in 6 months. Conclusion TUPS as a good treatment for BPH is effective, highly safe and causing few complications.

关 键 词：前列腺增生 经尿道前列腺裂开术 疗效 

分 类 号：R697[医药卫生—泌尿科学]