摘要
目的 探讨良性前列腺增生症 (BPH)的有效治疗方法。 方法 采用经尿道前列腺汽化电切 (TUEVAP)加经尿道前列腺电切术 (TURP)联合治疗BPH患者 2 5 6例。 结果 手术时间2 0～ 12 5min ,平均 6 2min。 2 9例 (11.3% )术中需输血 2 0 0～ 6 0 0ml,均为Ⅲ°增生者。切除前列腺组织重量 8～ 12 0 g ,平均 38g。无电切综合征发生。术后 3～ 5d拔除导尿管 ,排尿均通畅。 180例随访6个月～ 2年 ,IPSS由术前 2 8.8± 2 .0下降至术后 7.2± 0 .3(P <0 .0 1) ,最大尿流率由术前平均 (5 .1± 0 .4)ml/s升至术后 (16 .7± 1.8)ml/s(P <0 .0 1)。B超复查 12 4例 ,38例 (30 .7% )仍有剩余尿 10～ 40ml,平均 18.2ml。术后继发性出血 12例 (4 .7% ) ,尿道狭窄 8例 (3.1% ) ,暂时性尿失禁 3例(1.2 % )。 结论 TUEVAP加TURP联合治疗BPH可综合两者的优点 ,疗效显著 ,并发症少 ,安全性高 ,是治疗BPH的有效方法。
Objective To study the availability of the combined use of transurethral electro vapo rizationablation of the prostate (TUEVAP) and transurethral prostatectomy in the treatment of benign prostatic hyperplasia(BPH). Methods TUEVAP and transurethral prostatectomy(TURP)were concomitantly performed for 256 cases of BPH. Results The procedure has been successful and the postoperative course uneventful in all the patients.No patient experienced TUR syndrome.All the patients got normal micturation after the urethral catheter being drawn 3～5 days later.The patients have been followed up for 1/2 to 2 years.IPSS decreased from 28.8±2.0 to 7.2±0.3 and MFR increased from (5.1±0.4) ml/s to (16.7±1.8) ml/s. Conclusions The procedure has the advantages of both TUEVAP and TURP and is safe with low complication.It is believed to be the ideal choice for treating BPH.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2001年第1期49-50,共2页
Chinese Journal of Urology
关键词
前列腺增生症
外科
手术
Prostatic hypertrophy
Surgery,operative
