经尿道前列腺电切术治疗前列腺增生症87例  

Transurethral resection of the prostate in the treatment of prostatic hyperplasia in 87 cases

作　　者：郭琦[1] 王辅[1] 赵彦宗[1] 杨亚军[1] 

机构地区：[1]天水市第一人民医院泌尿外科,甘肃天水741000

出　　处：《现代医药卫生》2008年第23期3503-3504,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨经尿道前列腺电切术(TURP)治疗前列腺增生症(BPH)的经验及手术技巧。方法:回顾性分析2003年9月～2008年3月87例BPH患者行TURP手术及治疗的资料。结果:手术平均时间62(35～135)min。切除前列腺组织平均39(22～92)g,术后早期出血4例,迟发性出血2例,均保守治疗止血成功,6例发生暂时性尿失禁,未发生永久性尿失禁及电切综合征。术后平均住院7.2(6～12)天。国际前列腺症状评分(IPSS)由术前(29.4±3.1)降至术后的(8.6±1.6)(P<0.01),最大尿流由术前(4.5±1.6)ml/s升至术后的(17.8±3.1)ml/s(P<0.01)。结论:TURP治疗BPH适应证宽,出血少,患者康复快,疗效显著是治疗BPH值得选择的方法。Objective：To evaluate the operative technique and therapeutic effect of transurethral resection of the prostate（TURP）for benign prostatic hyperplasia（BPH）. Methods ：The treatment effect was analyzed retrospectively in 87cases with BPH admitted from 2003- 2008 in our hospital. Results：The mean operative duration was 62（35-135） min ,resected prostate weighted 22 to 92 g（mean 39 8）,Postoperative hemorrhage occurred in early stage in 4 cases,late stage in 2 cases,and hemostasis achieved in all cases with conservative treatment.Temporary urinary incontinence occurred in 6 cases,there was no occurrence of permanent urinary incontinence and transurethral resection syndrene.The average hospitalization duration was7.2（6-12 d） The peak flow rate increased from（4.5±1.6）ml/s to （17.8 ±3.1）ml/s（P〈0.01）,and the IPSS decreased frem（29.4 ±3.1） to （8. 6±1.6）（P〈0.01） respectively after operation.Conclusion：TUEVP and TURP are safe and effective method with fewer complications and less influence on physiological function to treat BPH.

关 键 词：经尿道电切术 前列腺增生 

分 类 号：R6[医药卫生—外科学]