经尿道前列腺剜除术治疗大体积前列腺增生  

Transurethral enucleation of the prostate for large volume prostatic hyperplasia

作　　者：唐青[1] 庞俊[2] 吴奇[1] 

机构地区：[1]九江学院附属医院泌尿外科,江西九江332000 [2]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2015年第4期35-38,共4页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的 探讨经尿道前列腺剜除术治疗大体积前列腺增生的经验和效果。方法 收集2008年5月至2013年8月,九江学院附属医院前列腺体积〉80 ml患者57例,年龄60-83岁,采用经尿道前列腺剜除术治疗,对其临床资料进行分析总结。结果 剜除术时间10-30 min,收获式切割时间40-70 min,国际前列腺症状评分（IPSS）由术前（27.0±2.1）分降至术后（5.4±0.3）分,生活质量评分（QOL）由术前（4.1±0.8）分降至术后（2.1±0.7）分,最大尿流率（Qmax）由术前（6.5±1.5）ml/s升至术后（18.6±2.1）ml/s,残余尿量（RUV）由术前（124.0±8.7）ml降至术后（21.0±5.2）ml,无围手术期死亡,术后随访1个月,未发现术后尿失禁及排尿困难。结论 经尿道前列腺剜除术是治疗大体积前列腺增生的有效方法。Objective To investigate the experiences and efficacy of transurethral enucleation of the prostate for large volume prostatic hyperplasia. Methods From May 2008 to August 2013, in he Affiliated Hospital of Jiujiang College 57 patients with large volume prostatic hyperplasia were performed with transurethral enucleation of the prostate, Results The mean enucleation time was （10-30）minutes, and resection time was （40-70） minutes, IPSS decreased from （27.0±-2.1） to （5.4±0.3）, QOL decreased from（4.1 ± 0.8） to （2.1±0.7）, maximum flow rate increased from （6.5±1.5）ml/s to （18.6±2.1）ml/s, post-void residual urine volume decreased from （124.0 ±8.7）ml to （21.0 ±5.2）ml, No death occurred. The follow-up time is lmonth. No haematuria and urinary incontinence occurred. Conclusions The method is effective to the patients with large volume prostatic hyperplasia.

关 键 词：前列腺增生 大体积 前列腺 剜除术 

分 类 号：R699.8[医药卫生—泌尿科学]