经尿道前列腺电气化术治疗BPH疗效分析(附31例报告)  

Therapuetic evaluation of transurethral electorvaporization ablation of the prostate for the treatment of benign prostatic hyperplasia(Report of 31 cases)

作　　者：李绍棠[1] 娄斌[1] 宋松[1] 彭浩[1] 

机构地区：[1]江苏省邳州市人民医院泌尿外科,221300

出　　处：《河南外科学杂志》2003年第1期2-4,共3页Henan Journal of Surgery

摘　　要：目的:分析经尿道前列腺电气化术(TUVP)治疗前列腺增生症(BPH)的临床效果。方法:采用电气化法加电切法施行经尿道前列腺电气化术治疗BPH31例。结果:26例获得0.5年随访,国际前列腺症状评分(IPSS)由术前(27.4±3.1)分降至(10.5±1.7)分,生活质量评分(QCL)由(5.3±0.6)分降为(2.0±0.4)分,剩余尿量由(155.1±44.5)ml降至(28.6±14.2)ml,以上三项指标手术前后有非常显著性差异(P<0.01)。术后并发症7例(22.6％),其中急性出血2例,TUR综合征1例,前列腺窝粘连1例,前列腺组织残留1例,急迫性尿失禁2例。结论:TUVP解除BPH引起的下尿路梗阻是安全和有效的,其优点有术中出血少、视野清晰,术后恢复快,易于掌握。Purpose: To evaluate the clinical outcome of patients with begign prostate hyperplasia (BPH) who were treated by transurethral vapiorization of the prostate (TUVP) using the vaportrode. Methods: 31 patients with symptomatic BPH-treated by TUVP were enrolled in this study. Results: A total of 31 patients were followed up for 6 months. The IPSS and PVRU decreased, QOL increased very significantly after TUVP( IPSS10. 5±1.7 versus 27.4±3.1, QOL2.1±0.4 versus5. 3±0.6,PVRU28.6±14.2 versus 155.1±44.5)( P <0.01 respectively). The overall complication rate was 22.6% (7/31), including acute bleeding 2 cases, trasurethral resection syndrome ( TORS ) 1 case, prostate synechial formation reguiring revision 1 case, residual prostatic tissue 1 case, urgent incontinence 2 case. Conclusions: TUVP is an effective and safe in relieving the law urinary tract obstruction induced by BPH. The advantages of TUVP include less bleeding, clear field of view during operation , quick recovery after operation and easy to learn .

关 键 词：经尿道前列腺电气化术 治疗 BPH 疗效 前列腺增生症 

分 类 号：R697.32[医药卫生—泌尿科学]