摘要
目的探讨经尿道气化电切术（TuVP）治疗高危重度前列腺增生症（BPH）的安全性和有效性。方法对有全身症状和泌尿系并发症2种以上、前列腺重量〉50g的62例BPH患者，平均年龄74．5岁，经围手术期处理后行TuVP术治疗。结果所有患者均安全度过围手术期。随访3～36个月，平均术前国际症状评分（LPSS）从26．8下降至6．8，最大尿流率（MFR）从6．1ml／s上升到18．5ml／s、剩余尿量（PVR）从376ml下降到8．8ml。结论TUVP术治疗高危重度BPH是安全有效的。
Objective To evaluate the efficacy and safety of transurethral vaporresection of the prostate （TUVP） in high risk patients with large volume benign prostate hyperplasia （BPH）. Methods Between October 2000 and August 2005, there were 62 patients with BPH, average age 74.5, coexist urological and systemic disease 〉 2 kinds, mean prostate weight 〉 50g were treated with TUVP. Patients were followed up with IPSS, QOL, PVR and urodynamic exminations. Results TUVP procedures were successful in all cases after meticulous pro -opertive preparation. The IPSS were decreased from 26.8 （ 24 - 35 ） preoperatively tO 6. 8 （ 6 - 14 ） postoperatively, MFR increased from 6.1 ml/s（5 - 10ml/s） preoperatively to 18.5ml/s（ 15 -26ml/s） postoperatively ,PVR decreased from 376ml to 8.8m1（8 -22ml ） after fallow - up 3 - 36month. Conclusion TUVP is a simple, effective and safe method to treat high risk patients with large volume BPH.
出处
《医药论坛杂志》
2006年第12期28-29,共2页
Journal of Medical Forum
关键词
前列腺增生症
经尿道气化电切术
手术治疗
Benign prostate hyperplasia
Transurethral vapor - resection
Surgical treatment
