摘要
目的 探讨经尿道前列腺汽化电切治疗前列腺增生症 (BPH)的安全性与有效性。方法 采用经尿道前列腺汽化电切术 (TUVP)切除增生前列腺 2 98例 ,前列腺 2 2～ 12 7g ,平均 4 9.8g ,全部病例随访 6～ 2 0个月。结果 TUVP手术时间 2 9～ 81min ,平均 5 1min ,切除前列腺组织 9～ 84g ,平均 31g ,无电切综合征发生。术后 5～7d拔除导尿管 ,患者均排尿通畅。术后 1,4 ,7个月 ,最大尿流率 (Qmax)由术前的 5 .1± 3.8ml s分别上升至 16 .1±3.2 ,2 0 .8± 4 .1,2 1.9± 4 .9ml s。国际前列腺症状评分 (IPSS)从 2 8.7± 1.5分别降至 7.1± 1.7,6 .8± 1.5 ,5 .9± 1.4分。生活质量评分 (QOL)由术前的 5 .4分别下降至 1.9,1.7,1.3分。 3项指标手术前后比较差异均有显著性意义 (P <0 .0 5 )。结论 TUVP是一种安全、有效。
Objective To study the efficacy and safety of transurethral electrovaporization ablation of the prostate.Methods TVUP was performed for 298 cases of BPH,All patients had were followed up for 6～20 months.Results The duration of the operation was 51±28min(range 29 to 81 min).No transurethral resection syndrom occured.All patients had got normal voiding after removal of catheter 5～7d postoperatively.The peak flow rate increased from 5.1±3.8 to 16.1±3.2,20.8±4.1,21.9±4.9ml/s at 1,4 and 7 months respectively.The IPSS decreased from 28.7±1.5 to 7.1±1.7,6.8±1.5,5.9±1.4.The QOL decreased from 5.4 to 1.9,1.7,1.3 at 1,4 and 7 months respectively.Conclusion Transurethral electrovaporization ablation of the prostate is a safe and effective method to treat prostatic hyperplasia with less complications.
出处
《潍坊医学院学报》
2003年第6期411-412,共2页
Acta Academiae Medicinae Weifang
关键词
良性前列腺增生症
经尿道前列腺汽化电切水
外科
手术
Benign prostatic hyperplasia
Transurethral electrovaporization ablation of the prostate
Surgery,operation
