摘要
目的探讨经尿道前列腺汽化电切术(transurethral electrovaporization of the prostate,TUVP)治疗重度前列腺增生(ben ign prostatic hyperp lasia,BPH)的效果。方法126例重度BPH行TUVP。先于6、12点做纵行沟,然后从精阜近端开始逆行剥离侧叶,最后将游离带蒂的侧叶切除。结果国际前列腺症状评分由术前(28.6±4.5)分降到术后3个月(10.7±2.6)分(t=38.661,P=0.000);生活质量评分由术前(5.3±0.7)分降至术后3个月(2.0±0.5)分(t=43.061,P=0.000);最大尿流率由手术前(5.7±3.6)m l/s升高至术后3个月(18.2±4.2)m l/s(t=-25.365,P=0.000);残余尿由术前(312.4±56.6)m l降到术后3个月(32.8±9.2)m l(t=54.732,P=0.000);均有显著性差异。术中出现经尿道电切综合征先兆2例,术后暂时性尿失禁5例。结论TUVP治疗重度BPH有效,安全。
Objective To discuss clinical effects of transurethral electrovaporization of the prostate （TUVP） for the treatment of large benign prostatic hyperplasia （BPH）. Methods A total of 126 cases of large BPH were treated with TUVP. Two longitudinal trenches were made at the position of 6 and 12 o＇ clock, respectively. Then the lateral lobe was retrogradely dissected from the proximal end of the seminal colliculus and was removed. Results The international prostate symptom scores （IPSS） decreased from 28.6 ± 4.5 preoperatively to 10.7 ± 2.6 postoperatively（ t = 38. 661 ,P = 0. 000） ; the quality-of-life scores （QOL） decreased from 5.3 ± 0.7 preoperatively to 2.0 ± 0.5 postoperatively（ t = 43. 061 ,P = 0. 000） ; the maximum urinary flow rate （Qmax） increased from 5.7 ± 3.6 ml/s preoperatively to 18.2 ± 4.2 ml/s postoperatively（ t = -25. 365,P = 0. 000） ; the resident urine （RU） decreased from 312.4 ± 56.6 ml preoperatively to 32.8 ± 9.2 ml postoperatively （ t = 54. 732, P = 0. 000 ）. There were significant differences in all these parameters between preoperatively and postoperatively. Threatened transurethral resection syndrome （TURS） occurred during operation in 2 cases. Postoperatively, transient urinary incontinence was observed in 5 cases. Conclusions Transurethral electrovaporization of the prostate for the treatment of large BPH is effective and safe.
出处
《中国微创外科杂志》
CSCD
2006年第8期606-607,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
前列腺增生
经尿道汽化切除术
Prostatic hyperplasia
Transurethral electrovaporization
