摘要
目的 :探讨解除高危前列腺增生 (BPH)患者膀胱出口梗阻 (BOO)症状安全有效的手术方法。方法 :采用经尿道前列腺气化电切上通道成形术、经尿道前列腺气化电切下通道成形术、经尿道前列腺乙醇注射消融术(TEAP)等腔内手术方法治疗BPH患者 311例。结果 :本组手术时间短 ,平均 2 5 .8min ;术中出血不多 ,无死亡病例 ;近期排尿顺畅 ,18个月抽样随访 ,最大尿流率 (Q max)平均为 14 .8ml s。结论 :经尿道前列腺气化电切上、下通道成形术、TEAP是解除高危BPH患者BOO症状的一种腔内手术方法 ,其手术操作简易、微创 ,安全有效。
Purpose:To investigate a safe and efficacious operative procedure to relieve the symptom of bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) in aged and seriously ill patients.Methods: From August 1995 to December 2001, 311 patients who had BOO due to BPH were treated with Up passage or Down passage Transurethral Electrovaporization of the Prostate(TUVP) and Transurethral Ethanol Ablation of the Prostate(TEAP).Results: The mean age was 78.8 years (range 70 to 96) for the operation group. The operative duration was short and the average was for 5.8 minutes. The patients bleed little during the operation. There was no dead case. At 18 months of follow up, the mean peak uroflow rate(Qmax) was 14.8 mL/s.Conclusions: The endoscopic operation to relieve the symptom of BOO due to BPH in aged and seriously ill patients such as Up passage or Down passage TUVP and TEAP is minimal invasion, safety and efficacy.
出处
《临床泌尿外科杂志》
2002年第8期391-392,共2页
Journal of Clinical Urology
关键词
良性前列腺增生
腔内手术
经尿道前列腺气化电切术
经尿道前列腺化学消融术
BPH
Benign prostatic hyperplasia
Lumen Surgery
Transurethral electraporizatim of the prostate
Transurothral ethanol ablqtian of the prostate
