高危良性前列腺增生29例的微创经尿道前列腺电切的治疗观察  

Observation of the Treatment of 29 Cases withHigh Risk Benign Hyperplasia of Prostate with Microwound TURP

作　　者：陈文军[1] 郑孝东[1] 林刚[1] 朱伟[1] 朱利锋[1] 钱小权[1] 严长寿[1] 

机构地区：[1]武警浙江总队杭州医院泌尿外科,浙江杭州310021

出　　处：《临床军医杂志》2002年第5期71-72,共2页Clinical Journal of Medical Officers

摘　　要：目的　探讨微创经尿道前列腺电切术 (TURP)治疗高危良性前列腺增生 (BPH)患者的疗效。方法　采用微创TURP ,改变传统的前列腺电切部位 ,治疗高危BPH 2 9例。结果　术后平均随访 12个月 ,2 9例有效 (10 0 % ) ,国际前列腺症状评分 (IPSS)由术前 2 7.7± 2 .1减少至 8.8± 2 .3(P <0 .0 1) ,生活质量评分 (Qol)由术前平均 4 .7± 0 .7下降至 2 .3± 0 .8(P <0 .0 5 ) ,最大尿流率 (Qmax) (8.7± 1.9)ml/s增加至 (14 .9± 1.7)ml/s ,剩余尿 (RU)从术前 (12 9± 4 2 .8)ml减少至 (36± 11.8)ml。Objective To study the curative effect of the treatment of cases with high risk BPH with microwound TURP Methods To treat 29 cases with high risk BPH with microwound TURP instead of traditional electro prostatectomy Results After operation following up for 12 months the effective rate of the 29 cases was 100% IPSS decreased from 27.7±2.1 before operation to 8.8±2.3( P <0.01) Q ol came down from 4.7±0.7 before operation to 2.3±0.8( P <0.05) Q max increased from (8.7±1.9) ml/s to (14.9±1.7) ml/s RU decreased from (129±42.8) ml before operation to (36±11.8) ml Conclusion Microwound TURP is an effective treatment of high risk hyperplasia of prostate complicated with retention of urine

关 键 词：高危良性前列腺增生 经尿道前列腺电切术 微创外科 临床观察 连续硬膜外麻醉 

分 类 号：R697.32[医药卫生—泌尿科学]