分割法切除在大体积前列腺增生患者中的应用体会  

Divided transurethral prostatectomy for huge benign prostatic hyperplasia

作　　者：王涛[1] 张瑜[1] 钟光辉[1] 吴大力[1] 陈海平[1] 晏凌飞[1] 

机构地区：[1]南方医科大学第五附属医院泌尿外科,从化510590

出　　处：《中国医疗前沿》2013年第24期61-61,60,共2页China Healthcare Innovation

摘　　要：目的总结分割法切除在巨大良性前列腺增生症(BPH)中的应用。方法回顾性分析29例巨大BPH患者采用分割法经尿道前列腺切除术(TURP)治疗的临床资料。切除前列腺重量80-100g,平均87g;手术时间50-125min,平均86min;术后输血5例(17.2%)。结果前列腺症状评分(IPSS)由术前平均28±2.3分降至术后8.2±2.5分;最大尿流率由术前平均6.1±2.5ml/s升至术后平均17.6±5.4ml/s;膀胱残余尿量由术前50-1000ml降至术后0-45ml。手术并发症4例(13.8%),其中前列腺电切综合征(TURS)2例,尿道狭窄2例。结论 TURP是治疗巨大BPH相对安全、并发症少、疗效较好。Objective To summary the therapy method of huge benign prostatic hyperplasia. Method Review the clinical data of 29 patients with huge BPH who were treated by divided transurethral resection of the prostate. Of all the 29 patients, the weight of the resected prostate is 80-100g, and the average is 87g, the time of operation is 50-125 minutes, and the average is 86 minutes, only 5 patients were transfused blood after the operation. Results The IPSS decreased from 28±2.3 to 8.2±2.5, the Max of Micturition rose from 6.1±2. 5ml/s to 17.6±5.4ml/s, the residual urine fell from 50-1000ml to 0-45m1. There were 4 patients had complications： 2 belong to TURS, 2 were urethral stricture. Conclusion TURP it is a safe and good method to treat huge BPH.

关 键 词：巨大前列腺增生症 经尿道前列腺切除术 治疗 

分 类 号：R697.3[医药卫生—泌尿科学]