经尿道前列腺电切术治疗高危前列腺增生症85例临床分析  

Transurethral resection of prostate for the treatment of benign prostatic hyperplasia in high risk patients:a report of 85 cases

作　　者：练文飞[1] 詹鸣[1] 庄声洲[1] 

机构地区：[1]中山大学附属第五医院泌尿外科,广东珠海519000

出　　处：《海南医学》2009年第3期19-20,共2页Hainan Medical Journal

摘　　要：目的探讨经尿道前列腺电切(TURP)治疗高危前列腺增生症(BPH)的安全性及围手术期处理。方法应用经尿道前列腺电切(TURP)治疗高危前列腺增生症患者85例。结果85例手术时间均为30-90min,手术切除前列腺组织质量30-60g,平均40g,失血量150-250ml,无电切综合征(TURS)发生。术后随访2-24个月,国际前列腺症状评分(IPSS)由术前(27.0±4.5)分降至术后(8.5±2.5)分,生活质量评分(QOL)由术前(4.5±0.7)分降至术后(2.2±0.3)分,最大尿流率(Qmax)由术前0-6ml/s升至术后(14.0±3.5)ml/s,剩余尿量(RUV)由术前80-400ml降至术后20-30ml,4项指标与术前比较均有统计学意义(P<0.01)。结论经尿道前列腺电切术是治疗高危前列腺增生症有效、安全性高且并发症少的方法。Objective To investigate the safety of the transurethral resection of prostate （TURP） in the treatment of benign prostatic hyperplasia（BPH） and the perioperative managemenL Methods 85 patients of high- risk patients with BPH were treated with TURP. Results The mean weight of recetion prostate tissue was 40g （ av- erage 30 -60g）, patients were followed up for 2 to 24 months, the operative time of 85 cases were 30 -90 min, blood loss were 150 -250ml, no syndrome（TURS） took place. International prostate symptom score（IPSS） decreaced from preoperative（27.0 ±4. 5） to （8.5 ±2. 5） , score of the quality of life（QOL） decreaced from preoperative （4. 5±0. 7 ） to （2. 2 ± 0. 3 ）, maximum flow rate （Qmax） increased from preoperative 0 - 6 mL/s to （ 14. 0± 3.5 ） mL/s, residual urine volume（RUV） decreased from preoperative 80 - 400ml to 20 - 30ml. There was significant difference between the preoperative index and the postoperative index（ P 〈 0. 01 ）. Conclusion Transurethral resection of prostate for the treatment of benign prostatic hyperplasia in high risk is effective and safe.

关 键 词：高危 前列腺增生症 经尿道前列腺电切术 

分 类 号：R697.3[医药卫生—泌尿科学]