经尿道电气化术联合电切术治疗前列腺增生症(附122例报告)  

The combined use of transurethral electrovaporization ablation and transurethral prostatectomy for BPH (Report of 122 case)

作　　者：尹嵘[1] 黄祥[1] 杨光[1] 

机构地区：[1]上海市黄浦区中心医院泌尿外科,上海200002

出　　处：《临床泌尿外科杂志》2002年第9期467-468,共2页Journal of Clinical Urology

摘　　要：目的 :探讨良性前列腺增生症 (BPH)的有效治疗方法。方法 :联合应用经尿道前列腺电气化术(TUVP)和经尿道前列腺电切术 (TURP)治疗BPH患者 12 2例 ,平均年龄 72 .3岁 ,其中Ⅰ度增生 8例 ,Ⅱ度增生5 1例 ,Ⅲ度增生 37例 ,Ⅳ度增生 2 6例。结果 :手术操作时间 30～ 15 0min ,平均 74.2 9min。 1例 (0 .8% )术中输血40 0ml,2例 (1.6 % )术后输血 2 0 0～ 40 0ml。发生 1例 (0 .8% )电切综合征。术后平均留置导尿管 5d。随访 1～10个月 ,国际前列腺症状评分 (IPSS)由术前 (2 9.8± 1.5 )分降至术后 2个月 (10 .9± 1.0 )分 (P <0 .0 1) ,排尿通畅 ,并发症少。结论 :TUVP与TURP联合应用治疗BPH具有二者的优点 ,出血少 ,能切除更多前列腺组织 ,并发症少 。Purpose:To study the effective method to treat benign prostatic hyperplasia (BPH).Method:Combined electrovaporization and transurethral resection of the prostate was undertaken for 122 consecutive cases of BPH with a mean age of 72.3.There were 8 cases Ⅰ°BPH, 51 cases Ⅱ° BPH, 37 cases Ⅲ° BPH, 26 cases Ⅳ° BPH. Result:The duration of the operation was 30～150 min,mean time was 74.29 min. 1 cases ( 0.8%) required transfusion 400 ml during the operation and 2 cases( 1.6%) required 200～400 ml after the operation. 1( 0.82%) occurred transurethral resection syndrome. The mean postoperative catheterization maintained for 5 days. IPSS decreased from ( 29.8± 1.5) to ( 10.9± 1.0) at 2 months postoperatively (P< 0.01).The result was satisfied and no complications were found with normal micturition in 1～10 months for follow-up. Conclusion:Combined electro vaporization and transurethral resection of the prostate for BPH can gain the advantages of the two operations and resect more tissue of prostate.The curative effect is obvious with low blood loss and complications.

关 键 词：前列腺增生症 经尿道前列腺电气化术 经尿道前列腺电切术 联合治疗 疗效分析 

分 类 号：R697.32[医药卫生—泌尿科学]