TURP治疗高龄高危前列腺增生症的疗效及安全性探讨  

The therapeutic effect and safety of TURP on benign prostate hyperplasia （BPH） patients of advanced age and high risk

作　　者：魏亮[1] 柳建军[1] 许志坚[1] 洪伟平[1] 叶木石[1] 

机构地区：[1]广东医学院附属医院,524023

出　　处：《中国医学创新》2011年第2期14-15,共2页Medical Innovation of China

摘　　要：目的探讨经尿道前列腺电切术（TURP）治疗高龄高危前列腺增生症患者（BPH）的疗效和手术安全性。方法在积极进行个体化围手术期处理的基础上，运用TURP治疗32例高龄高危前列腺增生症患者。结果本组32例均安全实施TURP，随访3～8个月排尿通畅．无一例永久性尿失禁及继发性出血。国际前列腺症状评分（IPSS）由30．2分下降至7．6分，残余尿量（PVR）由155ml降至21ml，最大尿流率（Qmax）由8mL／8增至21ml／s，生活质量评分（QOL）由4．9降至1．7分。治疗前后的IPSS、PVR、Qmax、QOL差异有统计学意义。结论只要经过严格的个体化围手术期处理，TURP仍是治疗高龄高危BPH安全有效的方法。Objective To explore the therapeutic effect and safety of TURP on benign prostate hyperplasia （BPH） patients of advanced age and high risk. Methods Based on individual perioprocedural management, thirty - two senior high risk BPH patients received the treatment of TURP. Results All operations were performed safely. Thirty - two patients of this group were followed up for 3 - 8 months, all patients were found to have fluent urination but no urinary incontinenee and see- ondary hemorrhage. In this group, the International Prostate Symptom Score （IPSS） descended from 30. 2 to 7.6, Prostate Volume Reduction （PVR） from 155ml to 21ml and Quality Of Life （QOL） from 4.9 to 1.7 ,whereas maximum urinary flow - rate（Qmax） increased from 8 ml/s to 21 ml/s. There were significant difference in IPSS, PVR, QOL and Qmax between pre - operation and past - operation. Conclusion TURP was a safe and effective therapy for the BPH patients of advanced age and high risk by systematic individual treatment during perioperation.

关 键 词：前列腺增生症 高龄 高危 经尿道前列腺电切术 

分 类 号：R697.32[医药卫生—泌尿科学]