摘要
目的探讨高龄患者前列腺增生手术的临床效果。方法选择2005年1月至2009年1月我院收治的前列腺增生高龄（≥80岁）患者60例，56例采用经尿道前列腺增生等离子电切术，4例采用耻骨上经膀胱前列腺增生体摘除术。对所有患者手术前后的国际前列腺症状评分（IPSS）、残余尿量和最大尿流量（Omax）进行比较。结果60例手术均获得成功，术中无明显包膜穿孔，输尿管口及尿道括约肌损伤；IPSS评分、残余尿量和最大尿流率手术前分别为（20．3±3．7）分、（85．1±13．O）ml和（8．7±2．1）ml／s；手术后分别为（11．5±2．1）分、（37．7±7．9）ml和（14．9士3．2）ml／s；手术后的IPSS评分和残余尿量均少于手术前，最大尿流率Qmax大于手术前（t=16．02、24．14、12．55，均P〈O．05）；所有患者术后随访6～12个月，无尿失禁，无明显前列腺增生复发。结论高龄患者前列腺增生行经尿道前列腺增生等离子体电切术安全有效，复发率低，值得推广。
Objective To investigate the clinical efficacy of surgery treatment of benign prostatic hyperplasia in elderly patients. Methods 60 elderly patients with prostatic hyperplasia aged 80 years and over were admitted in our hospital from January 2005 to January 2009. 56 cases were treated with transurethral plasmakinetic resection of benign prostatic hyperplasia, and 4 cases were treated with suprapubic prostatic hyperplasia enucleation. IPSS score, residual urine volume and maximum urinary flow rate（Qmax） in all patients were compared between pre-and post-surgery. Results 60 cases of patients were operated successfully without significant intraoperative capsular perforation, ureteral orifice and urethral sphincter injury. IPSS scores and residualurine volume were significantly less after surgery than before surgery （（20.3±3.7） vs. （11.5±2.1）, （85. 1±13.0） ml vs. （37.7± 7.9） ml, t= 16.02, 24.14, both P〈0.05]. The maximum flow rate Qmax was significantly higher after surgery than before surgery （ （8.7 ± 2.1） ml/s vs. （ 14.9 ± 3.2） ml/s, t = 12.55, P〈0.05]. All patients were followed up for 6-12 months. No incontinence and recurrence of benign prostatic hyperplasia were found. Conclusions Transurethral plasmakinetic resection for treatment of benign prostatic hyperplasia is safe and effective in elderly patients, with a low recurrence rate, and is worthy of promoting.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2014年第2期169-171,共3页
Chinese Journal of Geriatrics
关键词
前列腺增生
外科手术
Prostatic hyperplasia Surgical procedure, operative
