摘要
目的 探讨采用经尿道前列腺汽化术 (TUVP)治疗高危前列腺增生症。 方法 急 ,慢性尿潴留患者 6 0例。年龄 72岁～ 88岁 ,平均 80岁 ,均伴有其它系统严重并发症。经尿改道和充分术前准备后 ,采用TUVP治疗。 结果 排尿功能恢复良好。最大尿流率由术前 (7 4± 3 5 )ml/s ,提高到术后(18 6± 5 2 )ml/s(t=13.2 3,P =0 .0 0 0 ) ;平均尿流率由术前 (3.3± 1.5 )ml/s提高到术后 (12 .6± 2 .6 )ml/s(t=- 13.2 3,P =0 .0 0 0 ) ;残余尿由术前 (381.3± 6 5 .3)ml降至术后 (30 .5± 8.4 )ml(t=36 .17,P =0 .0 0 0 0 )。 结论 TUVP损伤小 ,安全性高 ,疗效确切且并发症少 ,适用于有严重并发症的高危患者的治疗。
Objective To Study the treatment of high risk patients with binigu prostatic hyperplasia using transurethral vaporization of prostate(TUVP). Methods 60 cases of acute or chronic urinary retention were treated by TUVP after preliminary urine diversion and adequate preoperative preparation.The average age of 60 cases was 80(72～88)years. Results The function of urination recovered well after operation.The maximum urination flow rate increased from (7.4±3.5)ml/s to (18.6±5.2)ml/s( t =-13.23, P =0.000);The avarage urination flow rate increased from(3.3±1.5)ml/s to (12.6±2.6)ml/s( t =-23.15, P =0.000);The residual urine decreased from(381.3±65.3)ml to (30.5±8.4)ml( t =36.17, P =0.000). Conclusions TUVP has the advantages of minimal invasion,safety,good efficacy and less complications and it fits for the treatment of high risk patients with severe complications.
出处
《中国微创外科杂志》
CSCD
2002年第5期333-334,共2页
Chinese Journal of Minimally Invasive Surgery
