摘要
目的:探讨经尿道电切术治疗231例高危重度BPH患者的安全性和疗效。方法:回顾性分析231例高危重度BPH患者的临床资料。结果:经个体化准备后,231例患者均能安全耐受手术,随访6个月,平均IPSS从26.7分降至6.3分,Q_(max)从6.5 ml/s升为16.6 ml/s,QOL由5.2分降为1.2分,剩余尿量由88.9 ml降为8.7 ml。结论:对高危重度BPH患者,只要加强围手术期的处理,且术者具备熟练的手术技巧,对高危重度BPH患者TURP是安全有效的治疗方法。
Objective： To evaluate the safety and efficacy of transurethral resection of prostate（TURP） for treatment of 231 high risk patients with large volume benign prostatic hyperplasia. Methods： Clinical data of 231 high risk patients with large volume benign prostatic hyperplasia was analyzed retrospectively. Results： After individual preparation, all patients safely got though the perioperative periods and received follow-up for 6 months. The mean International Prostate Symptom Score （I PSS） decreased from 26.7 to 6.3. The mean maximum flow rate （Qmax） increased from 6.5 to 16.6 ml/s. The mean Quality of Life （QOL） decreased from 5.2 to 1.2. And the mean Post-void residual urine（PVR） volume decreased from 88.9 ml to 8.7 ml. Conclusions：TURP was a safe and effective surgical treatment for high-risk patients with large volume BPH. But proper peri-operative individual management and operation skills were very important.
出处
《临床泌尿外科杂志》
北大核心
2010年第10期772-774,共3页
Journal of Clinical Urology
关键词
前列腺增生
经尿道前列腺电切
高危
benigh prostatic hyperplasia
transurethral resection of prostate
high risk factor
