经尿道前列腺电切治疗高危良性前列腺增生症95例  

Transurethral resection of prostate to treat high-risk patients with benign prostatic hyperplasia

作　　者：陈文军[1] 曹靖[1] 赵锦刚[1] 马全福[2] 

机构地区：[1]武警浙江总队杭州医院泌尿外科,杭州310051 [2]武警总医院泌尿外科

出　　处：《中华保健医学杂志》2012年第2期115-116,共2页Chinese Journal of Health Care and Medicine

摘　　要：目的总结经尿道前列腺电切(TURP)治疗高危良性前列腺增生症(BPH)的经验。方法回顾分析95例高危BPH患者采用TURP治疗的临床资料。结果在积极进行个体化围手术期处理后,95例患者术中无死亡、无闭孔神经反射、无中转开放手术。患者术后恢复良好,国际前列腺症状评分由术前(24.3±7.0)分降至(6.3±1.2)分;生活质量评分由术前(4.7±1.1)分降至(1.8±0.4)分;残余尿量由术前(145.0±36.2)ml降至(38.0±17.0)ml;最大尿流率由术前(7.8±0.7ml/s)升至(17.6±3.2)ml/s。结论应加强高危BPH患者的围手术期处理,TURP仍是治疗高危BPH安全有效地方法。Objective To summarize our experience on application of transurethral resection of prostate（TRUP）in treating hight-risk patients with benign prostatic hyperplasia（BPH）.Methods Clinic data of 95 case suffered from BPH of high risk treated by TURP were analysed retrospectively.Results With individualized peri-operational management,all operation were performed smoothly without any complications.The international prostste symptom score（IPSS）decreased from（24.3±7.0） before operation to（6.3±1.2） after operation.Quality of life（QQL）decreased from（4.7±1.1） before operation to（1.8±0.4） after operation.Post-void residual urine（PVR）decreased from（145.0±36.2） ml before operation to（38.0±17.0） ml after operation.Maximum flow rate（Qmax）increased from（7.8±0.7）ml/s before operation to（17.6±3.2） ml/s after operation.Conclusions TURP is a safe and effective surgical treatment for high-risk patients with BPH.Peri-operative management individualization is very important.

关 键 词：前列腺增生 经尿道前列腺电切 高危患者 

分 类 号：R697.32[医药卫生—泌尿科学]