经尿道电化学治疗前列腺增生118例疗效观察  

Transurethral electrochemical treatment of 118 patients with benign prostatic hyperplasia

作　　者：黄志勇[1] 

机构地区：[1]深圳市宝安区石岩人民医院外二科,518108

出　　处：《国际医药卫生导报》2010年第10期1180-1182,共3页International Medicine and Health Guidance News

摘　　要：目的观察经尿道电化学治疗前列腺增生的临床效果。方法选择118例前列腺增生患者行前列腺电化学治疗术，术前采用经会阴B超测前列腺尿道长度，术后三个月后复查，观察记录治疗前及治疗后90d的国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（MFR）、前列腺体积及残余尿量的变化。结果三个月后118例患者经B超复查，其症状评分明显改善。IPSS平均降低5—20分，QOL降低1～6分。治疗后，患者的MFR值（15．9±2．8）ml／s较治疗前的（9．6±4．2）ml／s明显增加（P〈0．05），残余尿量（21．9±25．3）ml较治疗前的（62．5±22．7）ml也有明显减少（P〈0．01），前列腺体积也有不同程度减少，治疗前为（69．2±10.5）cm3，治疗后平均为（48．7±11．9）cm3（P〈0．01）。总有效率95．76％，无效5例。全组无明显副损伤，无继发性出血、尿道狭窄、泌尿系感染及尿失禁等并发症。治疗后所有病人性功能无变化，也未使原合并症加重。结论经尿道电化学治疗前列腺增生症是一种新的安全有效的非手术方法，它疗效确切、创伤小、操作简便，可以作为高龄、高危不能耐受手术甚至不能接受麻醉的BPH患者的首选治疗手段，还尤其适于单纯侧叶增生、要求保持性生活的低龄病人。Objective To observe the electrochemical treatment of benign prostatic hyperplasia transurethral the clinical effects. Methods 118 patients with benign prostatic hyperplasia patients with prostate electrochemical therapy, preoperative use of transperineal prostatic urethral length of the B- test, after three months after the review, observed and recorded before treatment and 90 d after treatment of the international prostate symptom score （IPSS）, quality of life score （QOL）, maximum flow rate （MFR）, prostate volume and residual urine volume changes. Resulta After three months 118 cases of patients with B-review by their symptom score improved significantly. IPSS an average of five hours a 20 minutes, QOL reduced by 1 pm-6 pro. After treatment, patients with MFR values （15.9 ± 2.8） compared with pretreatment （9.6 ± 4.2） significantly increased （P 〈0.05）, residual urine volume （21.9 ± 25.3） compared with pre-treatment （62.5 ± 22.7） also significantly reduced （P〈0.01）, there are varying degrees of prostate volume reduction, treatment before （69.2 ± 10.5） ml, average after treatment （48.7 ± 11.9） ml （P〈0.01）. The total effective rate 95.76% （113 cases）, ineffective in 5 cases. There were no significant Vice damage, no secondary bleeding, urethral stricture, urinary tract complications such as infection and incontinence. Sexual function after .treatment for all patients with no change, nor did it increase so thai the original complications. Conclusion Transurethral electrochemical treatment of benign prostatic hyperplasia is a new safe and effective non-surgical method, which effects accurate, less traumatic, simple operation, can be used as senior citizens, high-risk surgery can not tolerate or even accept the anesthesia of choice for patients with BPH treatment, is also particularly suitable for simple lateral lobe hyperplasia, requires the maintenance of sexual life of the younger age of patients.

关 键 词：尿道电化学治疗 前列腺增生 疗效观察 

分 类 号：R6[医药卫生—外科学]