经尿道前列腺电汽化术300例近期随访  

Transurethral electrovaporization of the prostate(TVP) with vaportoom

作　　者：王行环[1] 罗耀雄[1] 冯自卫[1] 杨浣情[1] 刘久敏[1] 古维灿[1] 罗则民[1] 

机构地区：[1]广东省人民医院泌尿外科,510080

出　　处：《临床外科杂志》2001年第3期155-157,共3页Journal of Clinical Surgery

摘　　要：目的　评价经尿道前列腺电汽化术 (TVP)。方法　对我院以TVP治疗的 30 0例BPH患者进行随访。病人年龄 5 4～ 88岁 ,平均 71.5岁 ;前列腺重 2 0～ 138g ,平均 (47.3± 35 .6 )g。均有手术适应证。 结果　手术平均时间为 (36± 19)min ,2 44例 (82 .3 % )术中出血在 5 0ml以内 ,无TUR综合征。术后 1～ 4d拔除尿管。随访 6个月 ,PFR、IPSS和QOL显著改善。有 2 3例(7.7% )出现暂时性尿失禁 ,2周至 3个月恢复。 6 0 /78例 (77% )逆行射精。Objectives Transurethral resection of the prostate(TURP) is still considered the ‘Gold standard’ in the treatment of BPH, although it causes some morbidity such as bleeding, TUR syndrome. Transurethral electrovaporization of the prostate (TVP) is a new, minimally invasive and promising alternative to standard TURP in the treatment of BPH. This study is aimed to evaluate the effect and safety of TVP for the symptomatic BPH.Methods TVP was carried out using an standard irrigating resectoscope with vaportoom (Circon Acmi). Irrigating fluids is 5% glucose solution.Over a 18 month period,300 consecutive men (mean age 71.5 years, range 54 88) with symptomatic BPH (mean prostate volume 47.3±35.6 g, range 20 138) fulfilled the conventional criteria for a prostatectomy were treated with TVP.Preoperative and postoperative International Prostate Symptom Score (IPSS),Quality of Life(QOL),Maximum flow rates (PFR) and complications were recorded in each patient.Results The PFR increased from 4.4 to 18.6, 21.7, and 21.5 ml/s at 1,3,and 6 months, respectively. IPSS decreased from 25.5 to 5.1,5.0,and 3.2 at 1,3,and 6 months, respectively. Mean operative duration is 35 min (range 15 105). None of the patients required a blood transfusion. TUR syndrome and sphincteric incontinence were not found. Catheters removed in 24 96 h following surgery.19/300 patients experienced retention and need 2 5 days recatheterization. 60/78(77%) patients had retrograde ejaculation.Conclusions TVP is an effective alternative in the treatment of symptomatic BPH, with the advantages of minimal bleeding, no need for blood transfusion and no TUR-Syndrome. [

关 键 词：良性前列腺增生症 经尿道前列腺电汽化术 外科手术 治疗 

分 类 号：R699.8[医药卫生—泌尿科学]