解剖性切除前列腺尖部在TURP的临床意义  

Clinical value of anatomically remove apex of prostate in TURP

作　　者：汤晓晖[1] 宋武[2] 赵淮平 石农[2] 朱洪祥[1] 

机构地区：[1]上海市宝山区罗店医院泌尿外科,上海201908 [2]上海市华山医院宝山分院泌尿外科,上海201900

出　　处：《局解手术学杂志》2009年第3期171-172,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨解剖性切除前列腺尖部在尿道前列腺电切术(TURP)治疗前列腺增生症(BPH)中的临床意义。方法采用TURP治疗BPH患者350例,按照是否解剖性切除前列腺尖部,分为解剖组150例,普通前列腺电切组200例,比较手术时间、输血量、膀胱持续冲洗时间、导尿管留置时间、术后住院天数、围手术期是否发生并发症及远期效果。结果手术时间、输血量、导尿管留置时间、术后住院天数和围手术期出血两组比较无差异;术后急性尿潴留,解剖组明显较普通组少。普通组4例复发再次手术,解剖组无复发。结论解剖性切除前列腺尖部是掌握TURP的最高境界,有其积极的临床意义。Objective To investigate the clinical meaning of surgical removal apex of prostate entirely in transurethral resection, prostate （TURP） for benign prostatic hyperplasia （BPH）. Methods TURP was used to treat 350 patients. All cases were divided into anatomical group （ 150 cases） and normal TURP group （ 200 cases ） according whether or not remove apex of prostate. Features as the time of surgery, the amount of blood transfusion, the time of bladder sustained flushing, urethral catheter remaining time, the days in hospital after operation, the possibilities of complications such as hemorrhage, urinary incontinence, urinary retention and so on , and the long-term effect were compared in two groups. Results The acute urinary retention in anatomical group were obvious less than that in normal TURP group. Of 4 cases in normal TURP group operated again and no in anatomical group. Conclusion Anatomically remove apex of prostate is important in TURP and has positive clinical significance.

关 键 词：前列腺增生 经尿道前列腺电切术 前列腺尖部 

分 类 号：R697.32[医药卫生—泌尿科学] R699.6[医药卫生—外科学]