摘要
目的探讨经尿道前列腺汽化切割术治疗高危前列腺增生症的疗效。方法回顾性分析72例高危前列腺增生症患者应用经尿道汽化切割术治疗的临床资料。结果 72例高危前列腺增生症患者IPSS从术前30.4±6.4下降至术后1个月的6.5±4.2和术后3个月5.8±3.8(P<0.001)。最大尿流率由术前6.7±3.8ml/s增加至术后1个月17.5±4.5ml/s和术后3个月19.8±4.0ml/s(P<0.001)。剩余尿术前平均为152.1±22.6ml,术后3个月平均20.4±16.4ml,(P<0.001)。1例术后再次出血。术后无TURS、尿失禁和尿道狭窄发生,无一例死亡。结论前列腺增生症合并心、肺、脑、肝、肾疾病或高血压、脑血管意外,糖尿病时,开放手术危险性大,经尿道汽化切割术治疗高危前列腺增生症安全有效,是理想的选择。
Purpose: To evaluate the treatment effects of benign prostate hypertrophy (BPH) in high risk patients by transurethral vaporization resection of prostate (TUVRP) . Methods: The clinical data of 72 BPH cases of high risk patients by transurethral vaporization resection of prostate were analysed retrospectively. Results IPSS score, MFR and PVR in preoperation and postoperation were significantly diffenent (P< 0.001) .delayed hemorrhage appease one patient.No urinary incontinence TRUR urethral strictures or death occurred. Conclusions For BPH patients who suffer from the complications of heart, lung, brain, liver, kidney disorders, or.hypertension, stroke and diabets, general operation is very dawgesow.So, Transurethral vaporization resection of prostate is more safe and effective for high risk patients, who suffers benign prostate hypertrophy.TUVRP is a good choice for these patients.
出处
《医学研究通讯》
2002年第10期12-14,共3页
Bulletin of Medical Research
关键词
治疗
前列腺肥大
经尿道前列腺电切术
排尿障碍
疗效
BPH
Prostatic hypertrophy Transurethral vaporization resection of prostate Urination disordesr
