电切镜下经尿道前列腺剜除术的临床体会  

Clinical experience of transurethral enucleation of prostate

作　　者：任春凯[1] 唐喆[1] 余秋健[1] 黄斌[1] 乙从亮[1] 杨登伦[1] 

机构地区：[1]安徽省淮北市人民医院泌尿外科,235000

出　　处：《齐齐哈尔医学院学报》2012年第16期2180-2181,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨普通电切镜下行经尿道前列腺剜除术(TUERP)治疗良性前列腺增生(BPH)的有效性和安全性。方法采用TUERP治疗BPH患者36例。结果 36例TUERP患者手术顺利,无TURS发生,1例患者前列腺巨大出血较多输同型红细胞悬液2单位,手术时间40～120min,平均70min,术后3～5d拔除导尿管,国际前列腺症状评分(IPSS)由术前(24.8±4.2)分降至(6.8±3.2)分,残余尿由术前(102.6±75.6)ml降至(24.8±14.4)ml,术后1例出现暂时性尿失禁,经盆底肌肉训练后痊愈。结论 TUERP是治疗BPH的安全、有效、较为理想的方法之一。Objective To study the efficacy and safety of the ordinary transurethral endoscopic passing of the prostatic urethra enucleation （TUERP） to treat the benign prostatic hyperplasia （BPH）. Methods TUERP to treat the BPH patients with 36 cases. Results All of the patients to TUERP sur- gery went well, no TURS occurred, but one huge prostate patient with bleeding red blood cells 2 units, operative time was 40 to 120 min, an average of 70 min, after 3 to 5 d removal of the catheter, interna- tional prostate symptom score （IPSS） points dropped from preoperative （24. 8±4. 2） to （6. 8±3. 2） points, residual urine from the preoperative （102.6 soil 75.6） mL dropped to （24.8±14.4） ml, one case appeared incontinence, pelvic floor muscle training recovered. Conclusions TUERP is a kind of ef- fective clinical treatment method to BPH.

关 键 词：前列腺增生 经尿道前列腺剜除术 

分 类 号：R697.32[医药卫生—泌尿科学]