【摘要】 目的　探讨经尿道前列腺电切术对高危前列腺增生症 (Benignprostatichyperplasca ,BPH)的价值。　方法　对 2 3 9例高危BPH行部分性经尿道前列腺电切术 (part-TURP )。　结果　行一次电切 2 3 5例 ,二次电切 4例。国际前列腺症状评分(IPSS)由术前 ( 2 7 0± 3 9)分降至术后 ( 8 3± 3 3 )分 (t =49 58,P =0 0 0 0 ) ;生活质量指数 (Qualityoflifeindex ,QOL)由术前( 4 8± 0 9)分降至术后 ( 1 5± 0 6)分 (t =2 8 3 5,P =0 0 0 0 ) ;最大尿流率 (Maximumflowrate ,MFR)由术前 ( 5 8± 3 7)ml s升至术后 ( 18 6± 4 7)ml s(t=-13 0 2 ,P =0 0 0 0 ) ;平均尿流率 (Averageflowrate ,AFR)由术前 ( 1 2± 0 8)ml s升至术后 ( 11 3± 2 3 )ml s(t=-2 1 44,P =0 0 0 0 ) ;剩余尿量 (Residualurine ,RU)由术前 ( 2 73± 71 1)ml降至术后 ( 2 5 6± 12 2 )ml(t =3 3 96,P =0 0 0 0 )。随访 2 3 7例 ,时间 3月～ 48月 ,平均 18月 ,排尿通畅。　结论　高危BPH患者并不是TURP的绝对禁忌证 ,part -TURP对这类患者可行。更多还原

【Abstract】 ObjectiveTo investigate the value of transuret hal resection of the prostate (TURP) in the treatment of high-risk benign prostatic hyperplasia (BPH ).MethodsPart-TURP was performed in 239 high-risk patients w ith BPH.ResultsTURP was successfully completed on one session in 235 cases a nd a second oper ation was required in the remaining 4 cases. Pre- and post-operatively, the inte rnational prostate symptom score (IPSS) were (27 0±3 9) and (8 3±3 3), res pect ively ( t=49 58, P =0 000), the quality of life (QOL) were (4 8±0 9) and (1 5±0 6), respectively ( t=28 35, P =0 000), the maximum flow rate (MFR) were (5 8±3 7)ml/s and (18 6±4 7)ml/s, respectively ( t=-13 02, P =0 00), the average flow rate (AFR) w ere (1 2±0 8)ml/s and (11 3±2 3) ml/s , respectively ( t=-21 44, P =0 00 0), and the residual urine (RU) were (273±71 1)ml and (25 6±12 2)ml, respec tively ( t=33 96, P = 0 000). Follow-up checkups for 3～48 months (mean, 18 months) in 237 cases revealed norm a l urination.ConclusionsIn high-risk patients with BPH, TURP is not absolutely contraindicated and part-TURP is feasible.更多还原