经尿道前列腺电切术后远期疗效的评价  

Evaluation of long - term effect of transurethral resection of prostate

作　　者：陈虎[1] 赖建生[1] 赵国平[1] 郑东升[1] 夏强[1] 赵振华[1] 辛玉宏[1] 

机构地区：[1]广东省江门市人民医院泌尿外科,529000

出　　处：《中国实用医刊》2011年第16期9-10,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨经尿道前列腺电切术（TURP）的手术方法。方法观察15例前列腺增生症（BPH）电切术后尿道前列腺部的膀胱镜下表现和MRI检查，测量国际前列腺症状评分（IPSS）、生活质量评分（QOL）和最大尿流率。结合手术体会、文献进行分析。结果术后6年，电切达前列腺包膜的患者，仍有宽阔的尿道前列腺部，未见腺体增生。MRI显示膀胱颈呈漏斗型，膀胱镜下膀胱颈无抬高或挛缩的患者，虽然尖区残留腺体有不同程度的增生，但IPSS、QOL和最大尿流率尚满意。结论可沿外科包膜平面将增生腺体大部分切除的经尿道前列腺剜除术，远期疗效最佳。Objective To evaluate surgical techniques of the transurethral resection of prostate （TURP）. Methods Fifteen cases of benign prostatic hyperplasia after TURP had cystoscopy and MRI examination, measurement of IPSS, QOL and flow rate, literatures review was analyzed with operation ex- perience. Results Six years after operation, prostatic urethra was liberality in the patients who had pros-tatic capsule sparing, no gland hyperplasia. MRI showed that patients with tunnel -slaapeo Dlaaoer neck, without bladder neck elevation or contracture, the IPSS, QOL and the maximum flow rate was still satisfied, although there were tissue residue and gland cell proliferation. Conclusions Because tran- surethral plasma kinetic enucleation of prostate resection reached the prostatic capsule, long - term curative effect will be satisfactory.

关 键 词：前列腺增生 经尿道前列腺电切术 疗效 

分 类 号：R699[医药卫生—泌尿科学]