膀胱穿刺造瘘联合经尿道前列腺气化电切术治疗大体积良性前列腺增生  

Suprapubic cystostomy combined with transurethral vapor resection of the prostate in treatment of large benign prostatic hyperplasia

作　　者：单斗联 西尔艾力·牙生 屠民琦[2] 

机构地区：[1]新疆维吾尔自治区喀什地区第二人民医院泌尿外科,844000 [2]复旦大学上海市第五人民医院泌尿外科（援疆）,200240

出　　处：《中国医师进修杂志》2011年第32期6-8,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨膀胱穿刺造瘘联合经尿道前列腺气化电切术（TuvRP）治疗大体积良性前列腺增生（BPH）的疗效和可行性。方法回顾性分析28例大体积BPH患者的临床资料，均采用膀胱穿刺造瘘联合TUVRP治疗。结果28例患者术后均排尿通畅，术后随访6个月，国际前列腺症状评分由术前的（24．2±4．8）分降至术后的（9．8±2．6）分；最大尿流率由术前的（6．2±2．1）ml/s上升至术后的（14．8±2．9）ml/s；剩余尿由术前的（108．0±37．1）ml降至术后的（20．2±7．6）ml。术前、术后比较差异均有统计学意义（P〈0．05）。术后3例发生并发症，其中前列腺电切综合征2例，继发出血1例。结论熟练掌握TUVRP技术，采用膀胱穿刺造瘘联合TUVRP治疗大体积BPH是一种疗效好、并发症少、相对安全的方法。Objective To explore the efficacy and feasibility of suprapubic cystostomy combined with transurethral vapor resection of the prostate （TUVRP） for large benign prostatic hyperplasia （BPH）. Method Twenty-eight cases with large BPH were treated with suprapubic cystostomy combined with TUVRP and the clinical data was analyzed retrospectively. Results After operation, all patients had normal urination,followed up for 6 months,the international prostatic symptom score was decreased from （24.2 ± 4.8） scores to（9.8 ±2.6） scores,the maximal uroflow rate was increased from （6.2 ± 2.1 ） ml/s to （14.8 ＋2.9） ml/s,the residual urine was decreased from （ 108.0 ±37.1 ） ml to （20.2 ±7.6） ml,there was significant difference （P 〈 0.05 ）. Complications were found in 3 eases, 2 cases were transurethral resection of prostate syndrome, 1 case was secondary bleeding. Conclusion Suprapubic eystostomy combined with TUVRP is a safe, less complication, effective and feasible method for large BPH with proficient skill.

关 键 词：膀胱造口术 前列腺增生 经尿道前列腺气化电切术 

分 类 号：R697.32[医药卫生—泌尿科学]